Individual
DOROTHY MITKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1127 N. OAKLEY BLVD., 2ND FLOOR, CHICAGO, IL 60622
(312) 770-2040
(312) 770-3270
Mailing address
1127 N OAKLEY BLVD FL 2, CHICAGO, IL 60622-3507
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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