Idol Ray Mitchell, DPM
Podiatrist · Macomb, IL
Practice location
437 East Grant StreetMacomb, IL 61455-3352
- Phone
- (309) 837-3964
- Fax
- (309) 837-3966
NPI record
- NPI
- 1508850694
- Entity type
- Individual (Type 1)
- Enumeration date
- September 6, 2005
- Last updated
- May 15, 2008
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X |
016-004683 | IL |
About Dr. Mitchell
Idol Ray Mitchell, DPM is a healthcare provider 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 1508850694 was assigned on September 6, 2005 and the record was last updated on May 15, 2008.
Dr. Mitchell lists a license in the registry: #016-004683 (IL) for Podiatrist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Idol Ray Mitchell, DPM?
The NPI number is 1508850694.
What is the phone number of Dr. Mitchell?
The phone number listed for the practice location is (309) 837-3964.
Where is Dr. Mitchell located?
437 East Grant Street, Macomb, IL 61455-3352.
What is the taxonomy code for Dr. Mitchell?
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
- Idol R Mitchell DPM PC437 East Grant Street
- Max Ronald Rexroat, DPM437 E Grant St
- Max R Rexroat, DPM, LTD437 E Grant St
- McDonough County Hospital District437 E Grant St