Individual
MRS. KATHERINE HELEN MITTELBRUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1845 GRANDSTAND PL, ELGIN, IL 60123-6603
(331) 901-7476
Mailing address
1074 LAKEVIEW RD, ELGIN, IL 60123-1521
(708) 341-2385
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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