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

Mary Mikell, RNBSN

Individual provider Registered Nurse · NPI 1700450814

Mary Mikell, RNBSN is a Registered Nurse in South Holland, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2021

Practice location Address checks out

16005 Avalon Ave
South Holland, IL 60473-1865
Phone: (708) 964-6135
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 041398510 (IL)

Record details

NPI number1700450814
Entity typeIndividual (Type 1)
GenderFemale
Credentials RNBSN
Sole proprietorYes
NPI enumeratedMay 14, 2021
Last updated in NPPESMay 14, 2021
Certification dateApril 8, 2021

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