NPI 1295859577 MRS. MICHELLE ELIZABETH CHURCHEY-MIMS MA BLUE ISLAND IL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Mrs. Michelle Elizabeth Churchey-mims - NPI: 1295859577

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MRS. MICHELLE ELIZABETH CHURCHEY-MIMS
NPI Number: 1295859577
Entity Type Code: Individual (1)
Gender: F
Credentials: MA
License Number:
Business Practice Address: 13136 Western Ave
Blue Island, IL - 604062423
Business Phone Number: 7089745856
Business Fax Number: 3128290710
Mailing Address: 2424 Lewis St,
BLUE ISLAND
State: IL
Postal Code: 604061717
Phone Number: 7083852079
Fax Number: 3128290710
NPI Enumeration Date: 03/19/2007
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 101YP2500X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
Y
State: IL
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Counselor
Taxonomy Specialization: Professional
Taxonomy Definition:


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