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Individual

DR. DANIEL MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
800 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005-2349
(847) 618-1000
Mailing address
2321 COACH RD, LONG GROVE, IL 60047-5003
(847) 438-3883

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036-079041
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
36079041
IL
01
604600
MEDICARE GROUP
IL
Enumeration date
07/18/2006
Last updated
09/03/2024
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