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NPI Code Detail

MEDICARE: MITCHELL STARCEVICH RN

MEDICARE: MITCHELL STARCEVICH RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WE0003XEmergency Registered Nurse041567391IL

General Provider Information

NPI Number : 1487587077
Entity Type Code : Individual
Provider Name (Legal Business Name) : MITCHELL STARCEVICH RN
Provider Business Mailing Address
First Line : 1900 SILVER CROSS BLVD
Second Line :
City : NEW LENOX
State : IL
Zip : 60451-9509
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1900 SILVER CROSS BLVD
Second Line :
City : NEW LENOX
State : IL
Zip : 60451-9509
Country : US
Telephone Number : 815-300-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2026
Last Update Date : 06/04/2026

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Directions to “ MITCHELL STARCEVICH RN” Practice Location

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