Individual
DR. JACQUELINE FAYE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1525 E 53RD ST, SUITE 821, CHICAGO, IL 60615
(773) 955-0355
(773) 955-1175
Mailing address
1844 PRINCETON, FLOSSMOOR, IL 60422-0763
(708) 922-0506
(708) 922-0506
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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