Rachel Mitchell, | |
8955 Eden Ct, Village Of Lakewood, IL 60014-6881 | |
(847) 404-6381 | |
Not Available |
Full Name | Rachel Mitchell |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 8955 Eden Ct, Village Of Lakewood, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548971674 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Vitae Health Of Illinois Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174013452 PECOS PAC ID: 2365798410 Enrollment ID: O20180703002838 |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139 |
Mailing Address | Practice Location Address |
---|---|
Rachel Mitchell, 8955 Eden Ct, Village Of Lakewood, IL 60014-6881 Ph: (847) 404-6381 | Rachel Mitchell, 8955 Eden Ct, Village Of Lakewood, IL 60014-6881 Ph: (847) 404-6381 |
Victoria Grace Maurice, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 455 Huntley Rd, Village Of Lakewood, IL 60014 Phone: 847-275-4171 | |
Laureen Michele Brotan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8425 Owl Ct, Village Of Lakewood, IL 60014 Phone: 847-707-7220 |