Individual
KELSEY LEA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
5140 N CALIFORNIA AVE, CHICAGO, IL 60625-3645
(773) 989-6200
(773) 989-6201
Mailing address
5140 N CALIFORNIA AVE, CHICAGO, IL 60625-3645
(773) 989-6200
(773) 989-6201
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.396849
IL
367A00000X
Advanced Practice Midwife
Primary
209.013124
IL
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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