IndividualActive
Jeremiah Mitchell
NPI 1447910682 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Matteson, IL
Provider details
- NPI number
- 1447910682
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 1385401 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4450 Oakwood Ln
Matteson, IL 60443-1825
Phone: (708) 828-2438
Approximate (ZIP-level) locationGet directions
Mailing address
612 Goldenrod Cir
Matteson, IL 60443-1769
Registry dates
- Enumerated
- 2021-12-29
- Last updated
- 2021-12-29
- Certified
- 2021-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.