DONITA MITCHELL-GAGE (NPI# 1477943736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477943736 |
| Entity Type | Individual |
| Full Name | DONITA MITCHELL-GAGE |
| Credential | CERTIFIED HAIR LOSS |
| Practice Address |
619 E Boughton Rd Ste 143-ii Bolingbrook IL 60440-2486 |
| Mailing Address |
1369 Rosemary Dr Bolingbrook IL 60490-4940 |
| Practice Telephone | 7085160128 |
| Practice Fax Number | 8157826900 |
| Mailing Telephone | 7085160128 |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-04-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
012.008279 | IL | Other Service Providers |
| Street Address |
619 E BOUGHTON RD STE 143-II |
| City | BOLINGBROOK |
| State | IL |
| Zip Code | 60440-2486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 1851949150 | Rachel Nicole Weis | Student in an Organized Health Care Education/Training Program | 777 Falconridge Way, Bolingbrook, IL 60440 | 2019-08-29 |
| 1578072815 | Onna Ford-kendrick | Nurse Practitioner | 151 E. Briarcliff Rd, -, Bolingbrook, IL 60440 | 2017-09-28 |
| 1891245213 | Megan Lotarski | Specialist/Technologist | 6 Copper Ct, Bolingbrook, IL 60440 | 2016-10-10 |
| 1144775800 | Mitchell Quill | Chiropractor | 550 E Boughton Rd Ste 150, Bolingbrook, IL 60440 | 2016-08-23 |
| 1477914125 | Alessia L. Elerby | Specialist | 128 S Cass Ave, Westmont, IL 60440 | 2016-03-09 |
| 1982073821 | Melissa Perkins | Counselor | 511 Preston Drive, Bolingbrook, IL 60440 | 2015-09-22 |
| 1821467754 | Advanced Patient Care, LLC. | Pharmacy | 335-337 Remington Blvd., Bolingbrook, IL 60440 | 2015-09-22 |
| 1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
| 1467864512 | Alice II Salons | Specialist | 311 Quadr,., Bolingbrook, IL 60440 | 2014-05-23 |
| Find all providers in zip 60440 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467864512 | Alice II Salons | Specialist | 311 Quadr,., Bolingbrook, IL 60440 | 2014-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059008 | Jena Young | Specialist | 19 Sapphire Ln, Fairview Heights, IL 62208-2641 | 2020-09-27 |
| 1164034633 | Michelle Coburn | Specialist | 8327 S Loomis Blvd, Chicago, IL 60620-3958 | 2020-08-17 |
| 1558988865 | Ebony Roberts | Specialist | 16541 Oak Park Ave, Tinley Park, IL 60477-1752 | 2020-07-02 |
| 1073135729 | Marquita Daniel | Specialist | 9295 159th St Ste 131, Orland Hills, IL 60487-5977 | 2020-05-15 |
| 1760021703 | Monica Bembry | Specialist | 552 N Mannheim Rd Ste B, Hillside, IL 60162-1121 | 2019-12-21 |
| 1164072831 | Brandi Fields | Specialist | 6400 W Main St Ste 3k, Belleville, IL 62223-3806 | 2019-09-16 |
| 1669029096 | Akossiwa Amenyo | Specialist | 625 S Lincoln Ave, O Fallon, IL 62269-2663 | 2019-08-21 |
| 1043878747 | Kermitt Alexander | Specialist | 1575 Sibley Blvd, Calumet City, IL 60409-2304 | 2019-05-29 |
| 1508421579 | Jorell Glass | Specialist | 456 Fulton St Ste 180, Peoria, IL 61602-1292 | 2019-05-06 |
| 1114582368 | Shundrea Neely | Specialist | 10301 Lincoln Trl, Fairview Heights, IL 62208-1829 | 2019-05-03 |
| Find all providers with the same taxonomy | ||||
| City | BOLINGBROOK |
| Zip Code | 60440 |
Please comment or provide details below to improve the information on DONITA MITCHELL-GAGE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.