Individual provider · Type 1 NPI

Dorothy Mitkowski

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1164916144 Active

Practice location

1127 N. Oakley Blvd., 2nd Floor
Chicago, IL 60622

Call (312) 770-2040 Map

Fax (312) 770-3270

Mailing address

1127 N Oakley Blvd Fl 2
Chicago, IL 60622-3507

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1164916144

Dorothy Mitkowski's National Provider Identifier is 1164916144, issued on Jun 21, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on Jun 21, 2018.