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Individual

HARVEY MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.M.T

Contact information

Practice address
2629 W CHICAGO AVE, CHICAGO, IL 60622-8182
(872) 256-3230
Mailing address
1317 N ROCKWELL ST, CHICAGO, IL 60622-2865
(773) 896-3642

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.015207
IL

Other

Enumeration date
09/08/2016
Last updated
09/08/2016
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