Graduated: 2006
Offers telehealth
NPI: 1013163120
Practice Locations (2)
MITAS LLC
1191 FORTUNE BLVD, SUITE 2
SHILOH, IL 622697474
6186070061
MITAS LLC
2315 DOUGHERTY FERRY RD
DES PERES, MO 631313379
6186070061
Source: CMS National Downloadable File, September 2026.