Individual
MITCHELL CLINTON PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, CRSS
Contact information
Practice address
1100 JORIE BLVD STE 234, OAK BROOK, IL 60523-4418
(630) 423-7706
Mailing address
1100 JORIE BLVD STE 234, OAK BROOK, IL 60523-4418
(630) 423-7706
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
IL
175T00000X
Peer Specialist
Primary
—
IL
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/05/2023
Last updated
08/16/2026
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