Individual
TERESA A MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CRNA
Contact information
Practice address
25 N WINFIELD RD, WINFIELD, IL 60190-1379
(630) 933-6675
(630) 933-2614
Mailing address
25 N WINFIELD RD, WINFIELD, IL 60190-1379
(630) 933-6675
(630) 933-2614
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209009365
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
089586
AANA NUMBER
—
Enumeration date
01/04/2012
Last updated
07/18/2024
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