Individual
MITZI ACHILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18122 MARTIN AVE, HOMEWOOD, IL 60430-2120
(708) 798-4471
Mailing address
18122 MARTIN AVE, HOMEWOOD, IL 60430-2120
(708) 798-4471
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
011243205
IL
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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