Justin Eugene Mitchell D.O.

NPI 1689818098 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1689818098
Gender Male
Enumeration Date 04/29/2009
Last Updated 01/15/2016
Entity Type Individual
Active Over 7 years ago
Practice Location
2160 S 1ST AVE
MAYWOOD IL, 60153-3328, US
Phone (708) 216-9000
Fax
Business Location
2160 S 1ST AVE
MAYWOOD IL, 60153-3328, US
Phone (708) 216-9000
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Justin Eugene Mitchell D.O. NPI is 1689818098, taxonomy code is 390200000X Justin Eugene Mitchell D.O. physically located at 2160 S 1st Ave, Maywood IL, 60153-3328. NPI Number Justin Eugene Mitchell D.O. has the Individual type.

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1689818098 NPI number is provided on an as is basis without warranty of any kind. 1689818098 is maintained by the National Plan & Provider Enumeration System. The contents of Justin Eugene Mitchell D.O. are for informational purposes only.