| NPI | 1700066453 |
|---|---|
| Former Legal Business Name | CHARLOTTE MITCHELL,.M.D. S.C. |
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE MITCHELL Sole Owner 708-754-3225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 036079491) |
| Enumeration Date | 2007-11-10 |
| Last Update Date | 2014-02-22 |