Individual
MRS. SOFIA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 780-9777
Mailing address
4440 W 95TH ST STE 3192H, OAK LAWN, IL 60453-2600
(708) 684-5685
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209.013550
IL
Other
Enumeration date
12/28/2015
Last updated
04/19/2022
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