Mitchell, Marilyn L.
Mitchell, Marilyn L. is an sole proprietor health care provider with primary practice located at 2075 Foxfield Rd Suite 102, St Charles IL 60174-1402. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Mitchell, Marilyn L. can be contacted via phone (847) 304-5526.Contact Information
Primary practice address
2075 Foxfield Rd Suite 102
St Charles IL 60174-1402
Phone: (847) 304-5526
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 036-063042 | Illinois |
Profile Details
| NPI number | 1851380067 |
|---|---|
| LBN Legal business name | Mitchell, Marilyn L. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2005 |
| Last updated | Dec 3rd, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851380067 | NPPES |
| Illinois | Other | 748450 | MEDICARE PROVIDER NUMBER |
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