Individual
JOSHUA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-3619
Mailing address
355 E OHIO ST UNIT 603, CHICAGO, IL 60611-3464
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
041455102
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209016548
IL
Other
Enumeration date
08/28/2017
Last updated
06/22/2023
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