Organization
BONNIE MITCHELL HEALTH SERVICES
Active
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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