Individual
MITCHELL MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2171 W EXECUTIVE DR STE 500, ADDISON, IL 60101-5626
(630) 766-0505
Mailing address
1050 E PATTEN DR, PALATINE, IL 60074-7216
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IL
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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