Search › Illinois › 374700000X
Shantese Mitchell
NPI 1598511230 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1810 Wesley Ct
Joliet, IL 60431 - Phone
- (331) 333-9377
Registry record
- Primary taxonomy
- 374700000X
374700000X
- Also registered as
- 390200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-24
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