Search › Illinois › 363LF0000X
Kimberly Mitchell
NPI 1700350170 · on the registry since 2019
Practice
- Address
- 2420 State St
East Saint Louis, IL 62205 - Phone
- (618) 318-8809
- Fax
- (618) 615-4205
- Organisation at this address
- Osh-Il Physicians Group Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Additional practice sites
- 4625 Lindell Blvd Ste 200, Saint Louis, MO
- 1 Westbrook Corporate Ctr Ste 300, Westchester, IL
- 3354 Jerome Ln, Cahokia, IL
- 5 Kennedy Dr, Granite City, IL
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363L00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-06-06
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