Donita Mitchell-Gage, CERTIFIED HAIR LOSS
NPI #1477943736 in Bolingbrook, Illinois
Provider Information
- NPI Number
- 1477943736
- Entity Type
- Individual
- Name
- Donita Mitchell-Gage, CERTIFIED HAIR LOSS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist - Prosthetics Case Management
- Credential
- CERTIFIED HAIR LOSS
- Enumeration Date
- Jan 26, 2015
- Last Updated
- Apr 8, 2015
Practice Location
- Address
- 619 E BOUGHTON RD
- Address 2
- STE 143-II
- City
- Bolingbrook
- State
- Illinois
- ZIP Code
- 60440-2486
- Phone
- (708) 516-0128
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist - Prosthetics Case Management — Prosthetics Case Management |
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