Individual
JARED D MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1306 MAPLE ST, ELDORADO, IL 62930-1662
(618) 297-9665
(618) 297-9638
Mailing address
1201 PINE ST, ELDORADO, IL 62930-1634
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01077168A
IN
207Q00000X
Family Medicine Physician
Primary
036.163741
IL
207Q00000X
Family Medicine Physician
11018503A
IN
Other
Enumeration date
06/24/2015
Last updated
08/24/2023
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