Individual
DANIELLE P MITCHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 CENTRAL ST STE 880, EVANSTON, IL 60201-1780
(847) 570-1628
Mailing address
2650 RIDGE AVE, PHYSICAL MEDICINE & REHABILITATION STE. 2204, EVANSTON, IL 60201-1718
(847) 570-2066
(847) 733-5359
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036171415
IL
208100000X
Physical Medicine & Rehabilitation Physician
MT220480
PA
208D00000X
General Practice Physician
MD478285
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/17/2019
Last updated
08/06/2024
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