Individual
APRIL DE MITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
800 DEVON AVE, PARK RIDGE, IL 60068-4760
(800) 323-8622
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209007955
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100286344
—
WI
Enumeration date
12/24/2009
Last updated
10/18/2024
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