Organization
MITCHELL EIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTA MITCHELL (OWNER)
(847) 253-5180
Entity
Organization
Contact information
Practice address
308 S EMERSON ST, MT PROSPECT, IL 60056-3208
(847) 253-5180
Mailing address
308 S EMERSON ST, MT PROSPECT, IL 60056-3208
(847) 253-5180
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/13/2019
Last updated
10/08/2024
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