person
Mychele Lea Mack, DT
Specialist in Viola, Illinois
NPI 1306886395

Mychele Lea Mack is a Specialist based in Viola, IL. Mychele Lea Mack practices in Viola, IL and has the professional credentials of DT. The NPI Number for Mychele Lea Mack is 1306886395 and holds a License No. (Illinois).

The current practice location address for Mychele Lea Mack is 2732 75Th Ave, Viola, IL and can be reached out via phone at 309-737-4989. You can also correspond with Mychele Lea Mack through the mailing address at 2732 75TH AVE, VIOLA, IL - 61486-9555 (mailing address contact number: 309-737-4989).

Location: 2732 75Th Ave, Viola, IL, 61486-9555
person
Provider Profile Details
NPI Number
1306886395
Provider Name
Mychele Lea Mack
Credential
DT
Provider Entity Type
Individual
Gender
Female
Address
2732 75Th Ave, Viola, IL, 61486-9555
Phone Number
309-737-4989
Fax Number
Provider Enumeration Date
06/07/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2732 75Th Ave
City
State
Zip
61486-9555
Phone Number
309-737-4989
Fax Number
person
Provider Business Mailing Address Details
Address
2732 75Th Ave
City
State
Zip
61486-9555
Phone Number
309-737-4989
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
(Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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