Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MYCHELE LEA MACK, DT
ActiveMYCHELE LEA MACK, DT is a Specialist healthcare provider located in VIOLA, Illinois. NPI 1306886395 is currently active in the NPPES registry. Verify at CMS.
Specialist · VIOLA, IL
Registration Details
- NPI Number
- 1306886395
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 7, 2006 (20.163313275297 yrs)
- Last Updated
- Jul 27, 2007
Practice Information
- Address
-
2732 75TH AVEVIOLA, IL, 614869555Browse IL providers · Browse ZIP 61486
- Phone
- 3097374989
- Primary Specialty
-
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.