DONITA MITCHELL-GAGE CERTIFIED HAIR LOSS
NPI 1477943736
Specialist - Prosthetics Case Management in Bolingbrook, IL

Q: What is Donita Mitchell-gage's NPI number?

The NPI number for Donita Mitchell-gage is 1477943736. It was assigned to this individual provider in the NPPES registry on January 26, 2015.

Q: What is Donita Mitchell-gage's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

Active since January 26, 2015

619 E BOUGHTON RD, STE 143-II, BOLINGBROOK, IL 60440(708) 516-0128(815) 782-6900 Get Directions Write a Review

NPPES record last updated: April 8, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Donita Mitchell-gage Certified Hair Loss NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DONITA MITCHELL-GAGE CERTIFIED HAIR LOSS (NPI 1477943736) is an individual prosthetics case management provider in Bolingbrook, Illinois, licensed in Illinois (012.008279) and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1477943736

Entity TypeIndividualFemale

Primary Taxonomy1744P3200X

Provider Legal NameDONITA MITCHELL-GAGECredential: CERTIFIED HAIR LOSS

Location Address619 E BOUGHTON RD, STE 143-IIBolingbrook, IL 60440-2486

Mailing Address1369 Rosemary DrBolingbrook, IL 60490-4940 · (708) 516-0128

Phone(708) 516-0128

Fax(815) 782-6900

Sole ProprietorYes

Enumeration DateJanuary 26, 2015

Last NPPES UpdateApril 8, 2015

✔ NPI 1477943736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers

Taxonomy Code1744P3200X

License✔ Licensed in IL · 012.008279

Definition

Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.

619 E BOUGHTON RD, Bolingbrook, IL 60440

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donita Mitchell-gage's NPI number?

The NPI number for Donita Mitchell-gage is 1477943736. It was assigned to this individual provider in the NPPES registry on January 26, 2015.

Where is Donita Mitchell-gage located?

Donita Mitchell-gage practices at 619 E Boughton Rd Ste 143-Ii, Bolingbrook, IL 60440. The listed phone number is (708) 516-0128.

What is Donita Mitchell-gage's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

When was this NPI record last updated?

The NPPES record for Donita Mitchell-gage was last updated on April 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.