Mychele Lea Mack, DT
Mychele Lea Mack, DT is a Specialist in Viola, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
2732 75th AveViola, IL 61486-9555
Phone: (309) 737-4989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X (IL) |
|---|
Record details
| NPI number | 1306886395 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | DT |
| Sole proprietor | No |
| NPI enumerated | June 7, 2006 |
| Last updated in NPPES | July 27, 2007 |