SearchIllinois101YM0800X

Mitchel Daniels

NPI 1831801638 · on the registry since 2022 · sole proprietor

Practice

Address
110 Williams Dr
Harrisburg, IL 62946
Phone
(618) 499-4881

Additional practice sites

  • 626 W Oakdale Ave, Chicago, IL
  • 90 State St Apt 1112, Albany, NY

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-12-23

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