Individual
JOHN A MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 N WALL ST, KANKAKEE, IL 60901-2901
(800) 444-6110
Mailing address
925 SHERWOOD DR, LAKE BLUFF, IL 60044-2203
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036089028
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036089028
—
IL
Enumeration date
04/20/2007
Last updated
05/27/2022
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