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MITCHELL FOOT & ANKLE PC NPI 1750312690


NPI Information

NPI: 1750312690
Provider Name: MITCHELL FOOT & ANKLE PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1424 E 53RD ST
SUITE 301
CHICAGO, IL
ZIP 60615
Phone: (773) 324-3338
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MITCHELL FOOT & ANKLE PC is a foot and ankle surgery podiatrist in Chicago, IL. MITCHELL FOOT & ANKLE PC NPI is 1750312690. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1424 E 53RD ST
SUITE 301
CHICAGO, IL
ZIP 60615-500
Phone: (773) 324-3338
Fax: (773) 324-1866

The provider's authorized official is Charles L Mitchell .
The authorized official title is President and has the following contact phone number (773) 324-3338.

The enumeration date for this NPI number is 7/6/2006 and was last updated on 4/30/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15274200001MEDICARE NSCILLINOIS
2209685MEDICARE PINILLINOIS
3609279200OTHERILLINOISDEPT OF LABOR
4DD6737OTHERILLINOISRAILROAD MEDICARE GROUP
51634266OTHERILLINOISBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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