| Dr Jack J Mitchell, DDS | |
|
230 E 8th St, Suite #5, Lockport, IL 60441-3081 | |
| (815) 838-6102 | |
| (815) 838-6281 |
| Full Name | Dr Jack J Mitchell |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 230 E 8th St, Lockport, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902067143 | NPI | - | NPPES |
| 1568467702 | Other | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019.015670 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jack J Mitchell, DDS 230 E 8th St, Suite #5, Lockport, IL 60441-3081 Ph: (815) 838-6102 | Dr Jack J Mitchell, DDS 230 E 8th St, Suite #5, Lockport, IL 60441-3081 Ph: (815) 838-6102 |
Melanie Mcgrath, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 916 E 7th St, Lockport, IL 60441 Phone: 815-863-0001 | |
Dr. Kathryn R. Haraldson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 230 E 8th St, Suite #5, Lockport, IL 60441 Phone: 815-838-6102 Fax: 815-838-6281 | |
Richard A Craig, DDS Dentist Medicare: Medicare Enrolled Practice Location: 14831 W 159th St Ste 1, Lockport, IL 60491 Phone: 815-483-2980 Fax: 815-744-7059 | |
Mansour Musa Mohammed, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 16473 W 159th St, Lockport, IL 60441 Phone: 815-221-4200 | |
Tom M Ross, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1002 S State St, Lockport, IL 60441 Phone: 815-838-7174 | |
Hiba Iqbal, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 16533 W 159th St, Lockport, IL 60441 Phone: 815-836-3700 | |
Dr. Paul A. Bobak, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 230 E 8th St, Suite #5, Lockport, IL 60441 Phone: 815-838-6102 Fax: 815-838-6281 |