Idol R Mitchell DPM PC
Podiatrist · Macomb, IL
Practice location
437 East Grant StreetMacomb, IL 61455-3352
- Phone
- (309) 837-3964
- Fax
- (309) 837-3966
NPI record
- NPI
- 1003987173
- Entity type
- Organization (Type 2)
- Enumeration date
- November 12, 2006
- Last updated
- June 30, 2008
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X |
016004683 | IL |
Authorized official
- Name
- Dr. Idol R. Mitchell
- Title
- President
- Phone
- (309) 836-7900
About Idol R Mitchell DPM PC
Idol R Mitchell DPM PC is a healthcare organization registered in the NPI registry with the primary taxonomy Podiatrist (code 213E00000X). The practice location is 437 East Grant Street, Macomb, IL 61455-3352. The NPI number 1003987173 was assigned on November 12, 2006 and the record was last updated on June 30, 2008.
Idol R Mitchell DPM PC lists a license in the registry: #016004683 (IL) for Podiatrist. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Dr. Idol R. Mitchell, President.
Frequently asked questions
What is the NPI number of Idol R Mitchell DPM PC?
The NPI number is 1003987173.
What is the phone number of Idol R Mitchell DPM PC?
The phone number listed for the practice location is (309) 837-3964.
Where is Idol R Mitchell DPM PC located?
437 East Grant Street, Macomb, IL 61455-3352.
What is the taxonomy code for Idol R Mitchell DPM PC?
The primary taxonomy code is 213E00000X – Podiatrist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Podiatrist providers in Macomb
- Max Ronald Rexroat, DPM437 E Grant St
- Max R Rexroat, DPM, LTD437 E Grant St
- Idol Ray Mitchell, DPM437 East Grant Street
- McDonough County Hospital District437 E Grant St