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1508839895
PHILIP W MITCHELL
NORMAL, IL
NPI
1508839895
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IL 036-070228)
Enumeration Date
2006-02-08
Last Update Date
2009-03-31
Business Address
-- PHILIP W MITCHELL MD
1404 N MAPLE ST
NORMAL, IL 61761-1422
Phone number: 309-452-8404
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Mailing Address
-- PHILIP W MITCHELL MD
1404 N MAPLE ST
NORMAL, IL 61761-1422
Phone number: 309-452-8404
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