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Mignon Pruitt
NPI 1578019204 · on the registry since 2016
Practice
- Address
- 741 East 75th Street
Chicago, IL 60619 - Phone
- (773) 891-3242
- Fax
- (312) 874-7219
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
101YM0800X - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois