Daj'za Mitchell, | |
1501 E Plummer Blvd, Chatham, IL 62629-8083 | |
(217) 422-6704 | |
Not Available |
Full Name | Daj'za Mitchell |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1501 E Plummer Blvd, Chatham, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477271369 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Provider Name | Expressable Speech-language Pathology Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1649875857 PECOS PAC ID: 4688074511 Enrollment ID: O20220308002645 |
Mailing Address | Practice Location Address |
---|---|
Daj'za Mitchell, 920 S Spring St, Springfield, IL 62704-2725 Ph: () - | Daj'za Mitchell, 1501 E Plummer Blvd, Chatham, IL 62629-8083 Ph: (217) 422-6704 |
Mrs. Amy Janine Moffat, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5045 Spaulding Orchard Rd, Chatham, IL 62629 Phone: 217-971-8795 Fax: 217-483-3508 | |
Emily Postelmans, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1401 E Plummer Blvd, Chatham, IL 62629 Phone: 217-483-6704 | |
Gina Thomas, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 401 N Park Ave, Chatham, IL 62629 Phone: 217-483-4490 | |
Miss Margaret Mackenzie Lee, M.S. CCC-SLP/L Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 96 Nevermind Dr, Chatham, IL 62629 Phone: 217-971-4246 | |
Mrs. Jessalyn Elaine Loy, MS,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 600 Orchard Ave, Chatham, IL 62629 Phone: 217-473-7225 | |
Mrs. Caitlin A Flowers, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1527 E Walnut St, Chatham, IL 62629 Phone: 217-502-2180 |