Individual provider · Type 1 NPI

Molli Mitchell

Diagnostic Radiology Physician · Peoria, IL

NPI number 1376388314 Active

Practice location

530 NE Glen Oak Ave
Peoria, IL 61637-3082

Call (776) 830-9655 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Diagnostic Radiology Physician Primary 2085R0202X125.085681 (IL)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1376388314

Molli Mitchell's National Provider Identifier is 1376388314, issued on Jul 1, 2024. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Peoria, IL. The record was last updated on Aug 31, 2026.