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Mitchum Smith
NPI 1861972317 · on the registry since 2018
Practice
- Address
- 2025 Washington Street
Waukegan, IL 60085 - Phone
- (847) 360-1020
- Organisation at this address
- Independence Center, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 84
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Sex
- Male
- Record last updated
- 2018-08-15
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