Mitchum Smith is a student in an organized health care education training program in Waukegan, IL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Mitchum Smith NPI is 1861972317. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2025 WASHINGTON STREET
WAUKEGAN, IL
ZIP 60085
Phone: (847) 360-1020
The enumeration date for this NPI number is 8/15/2018 and was last updated on 8/15/2018.