Organization
MOKITA WELLNESS
Active
Organization
MOKITA WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIKITA MAHAN RN (OWNER)
(708) 769-4062
Entity
Organization
Contact information
Practice address
6533 S COTTAGE GROVE AVE, CHICAGO, IL 60637-4209
(708) 769-4062
Mailing address
6533 S COTTAGE GROVE AVE, CHICAGO, IL 60637-4209
(708) 769-4062
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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