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Search › Illinois › 1041C0700X

Patricia Mixon

NPI 1720652068 · on the registry since 2021

Practice

Address
403 Municipal Dr
Carterville, IL 62918
Phone
(855) 608-3561
Fax
(618) 956-9349
Organisation at this address
The H Group Bbt, Inc
Centerstone Of Illinois Inc
Centerstone Of Illinois Inc
Centerstone Of Illinois Inc
Centerstone Of Illinois, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
87

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
1041C0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-02-27

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