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1285175554
CHARLES MITSCHOW
NORTH CHICAGO, IL
NPI
1285175554
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: VA 0101265597)
Enumeration Date
2017-03-20
Last Update Date
2021-07-22
Business Address
CHARLES MITSCHOW
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064-3048
Phone number: 106-224-8724
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Mailing Address
CHARLES MITSCHOW
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064-3048
Phone number: 610-522-4887
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