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Donita Mitchell-gage, CERTIFIEDHAIRLOSS
Prosthetics Case Management in Bolingbrook, Illinois
NPI 1477943736

Donita Mitchell-gage is a Prosthetics Case Management based in Bolingbrook, IL and is specialized in Prosthetics Case Management. Donita Mitchell-gage practices in Bolingbrook, IL and has the professional credentials of CERTIFIEDHAIRLOSS. The NPI Number for Donita Mitchell-gage is 1477943736 and holds a License No. 012.008279 (Illinois).

The current practice location address for Donita Mitchell-gage is 619 E Boughton Rd, Bolingbrook, IL and can be reached out via phone at 708-516-0128 and via fax at 815-782-6900.

Location: 619 E Boughton Rd, Bolingbrook, IL, 60490-4940
person
Provider Profile Details
NPI Number
1477943736
Provider Name
Donita Mitchell-gage
Credential
CERTIFIEDHAIRLOSS
Provider Entity Type
Individual
Gender
Female
Address
619 E Boughton Rd, Bolingbrook, IL, 60490-4940
Phone Number
708-516-0128
Fax Number
815-782-6900
Provider Enumeration Date
01/26/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
619 E Boughton Rd
City
State
Zip
60440-2486
Phone Number
708-516-0128
Fax Number
815-782-6900
person
Provider Business Mailing Address Details
Address
619 E Boughton Rd
City
State
Zip
60440-2486
Phone Number
708-516-0128
Fax Number
815-782-6900
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
License No.
012.008279 (Illinois)
Definition
Definition to come...
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