Individual
JUSTIN EMANUEL MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5740 W 95TH ST, OAK LAWN, IL 60453-2359
(630) 229-2437
Mailing address
8046 S SAINT LOUIS AVE, CHICAGO, IL 60652-2561
(630) 229-2437
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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