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Scott Mittenthal, MD
Student in an Organized Health Care Education/Training Program in Naperville, Illinois
NPI 1629275623

Scott Mittenthal is a Student in an Organized Health Care Education/Training Program based in Naperville, IL. Scott Mittenthal practices in Naperville, IL and has the professional credentials of MD. The NPI Number for Scott Mittenthal is 1629275623 and holds a License No. 4301089836 (Illinois).

The current practice location address for Scott Mittenthal is 801 S Washington St, Naperville, IL and can be reached out via phone at 630-355-0450. You can also correspond with Scott Mittenthal through the mailing address at 387 SHUMAN BLVD, NAPERVILLE, IL - 60563-8450 (mailing address contact number: 630-355-0450).

Location: 801 S Washington St, Naperville, IL, 60563-8450
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629275623
Provider Name
Scott Mittenthal
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
801 S Washington St, Naperville, IL, 60563-8450
Phone Number
630-355-0450
Fax Number
Provider Enumeration Date
07/02/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
801 S Washington St
City
Naperville
State
Illinois
Zip
60540-7430
Phone Number
630-355-0450
Fax Number
person
Provider Business Mailing Address Details
Address
387 Shuman Blvd
City
Naperville
State
Illinois
Zip
60563-8450
Phone Number
630-355-0450
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
4301089836 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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