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Organization

BONNIE MITCHELL HEALTH SERVICES

Active
Other names
BONNIE MITCHELL HEALTH SERVICES
Organization subpart
No

Provider details

NPI number
Authorized official
BONNIE KAYE MITCHELL (OWNER)
(847) 722-4880
Entity
Organization

Contact information

Practice address
98 VENICE AVE, FOX LAKE, IL 60020-1534
(847) 772-4880
Mailing address
98 VENICE AVE, FOX LAKE, IL 60020-1534
(847) 772-4880

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
M324-0717-2956
DRIVING LICENSE
IL
Enumeration date
04/01/2021
Last updated
04/01/2021
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  • Eligibility checks
  • EDI platform