Search › Illinois › 122300000X
Jacqueline Mitchell, DDS
NPI 1740335884 · on the registry since 2007
Practice
- Address
- 1525 E 53rd St
Suite 821
Chicago, IL 60615 - Phone
- (773) 955-0355
- Fax
- (773) 955-1175
- Organisation at this address
- Gema, Inc
Kc Care Inc
Kc Care Inc
Mobiledoc Ltd.
Josh Singh, PhdInferred from a shared address, not stated in the registry. - Clinicians at this address
- 131
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
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