Individual
SHAMIA M MITCHEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2555 LINCOLN HWY STE 104, OLYMPIA FIELDS, IL 60461-1938
(708) 852-3171
(708) 852-3211
Mailing address
2555 LINCOLN HWY STE 104, OLYMPIA FIELDS, IL 60461-1938
(708) 852-3171
(708) 852-3211
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/21/2020
Last updated
09/22/2020
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