Mitchell, Octavia L.

Mitchell, Octavia L. is an sole proprietor health care provider with primary practice located at 5107 S Blackstone Ave Apt 1104 , Chicago IL 60615-4295. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Mitchell, Octavia L. can be contacted via phone (312) 581-1770.

Contact Information

Primary practice address
5107 S Blackstone Ave Apt 1104 Chicago IL 60615-4295
Phone: (312) 581-1770
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X Illinois

Profile Details

NPI number 1649922238
LBN Legal business name Mitchell, Octavia L.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2022
Last updated Jan 25th, 2022 - about 3 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.

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