Individual
MITCHELL JANCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
411 N RANDALL RD, LAKE IN THE HILLS, IL 60156-6335
(847) 854-9754
Mailing address
1711 HARDING RD, NORTHFIELD, IL 60093-3305
(224) 548-5605
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
070.025540
IL
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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