Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMIAH MITCHELL
ActiveJEREMIAH MITCHELL is a Sports Medicine (PM&R) healthcare provider located in MATTESON, Illinois. NPI 1447910682 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · MATTESON, IL
Registration Details
- NPI Number
- 1447910682
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 29, 2021 (4.6652344484276 yrs)
- Last Updated
- Dec 29, 2021
- Licenses
-
1385401 (IL)1385400 (IL)
Practice Information
- Address
-
4450 OAKWOOD LNMATTESON, IL, 604431825Browse IL providers · Browse ZIP 60443
- Phone
- 7088282438
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
- Additional Specialty
- Sports Medicine (PM&R)
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.