Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Donita Mitchell-Gage, CERTIFIEDHAIRLOSS

Individual provider Prosthetics Case Management · NPI 1477943736

Donita Mitchell-Gage, CERTIFIEDHAIRLOSS is a Prosthetics Case Management in Bolingbrook, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2015

Practice location Address checks out

619 E Boughton Rd Ste 143-II
Bolingbrook, IL 60440-2486
Phone: (708) 516-0128
Fax: (815) 782-6900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetics Case Management (primary) Taxonomy 1744P3200X · Licence 012.008279 (IL)

Record details

NPI number1477943736
Entity typeIndividual (Type 1)
GenderFemale
Credentials CERTIFIEDHAIRLOSS
Sole proprietorYes
NPI enumeratedJanuary 26, 2015
Last updated in NPPESApril 8, 2015

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