Individual
MONIQUE S MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1621 W CARROLL AVE, CHICAGO, IL 60612-2501
(888) 510-0059
Mailing address
1621 W CARROLL AVE, CHICAGO, IL 60612-2501
(888) 510-0059
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-307516
NC
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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