Search › Illinois › 1744P3200X
Donita Mitchell-Gage, CERTIFIED HAIR LOSS
NPI 1477943736 · on the registry since 2015 · sole proprietor
Practice
- Address
- 619 E Boughton Rd
Ste 143-Ii
Bolingbrook, IL 60440 - Phone
- (708) 516-0128
- Fax
- (815) 782-6900
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1744P3200X
1744P3200X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-04-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois