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

Mitchell Raymond Lilly, LPN

Individual provider Registered Nurse · NPI 1619698065

Mitchell Raymond Lilly, LPN is a Registered Nurse in Joliet, Illinois. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

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Practice location Address checks out

3114 Nantucket Dr
Joliet, IL 60435-9023
Phone: (815) 483-1873
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence PN5239605 (FL)

Record details

NPI number1619698065
Entity typeIndividual (Type 1)
GenderMale
Credentials LPN
Sole proprietorYes
NPI enumeratedSeptember 5, 2022
Last updated in NPPESSeptember 5, 2022
Certification dateSeptember 5, 2022
Mailing address3114 Nantucket Dr, Joliet, IL 60435-9023

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