Individual
CALEB J MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1340 IL HIGHWAY 1 STE E, CARMI, IL 62821
(618) 380-9321
(618) 273-2504
Mailing address
1201 PINE ST, ELDORADO, IL 62930-1634
(618) 273-3361
(618) 273-2504
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036146015
IL
207Q00000X
Family Medicine Physician
Primary
11018326A
IN
Other
Enumeration date
06/10/2015
Last updated
07/20/2018
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