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IDOL R MITCHELL DPM PC
NPI 1003987173
Podiatrist in Macomb, IL

Active since November 12, 2006
437 EAST GRANT STREET, MACOMB, IL 61455(309) 837-3964(309) 837-3966 Get Directions Write a Review

NPPES record last updated: June 30, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Idol R Mitchell Dpm Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IDOL R MITCHELL DPM PC (NPI 1003987173) is a healthcare organization registered as a podiatrist in Macomb, Illinois and active in the NPI registry since November 2006. The organization lists Idol R. Mitchell, President, as its authorized official.

NPPES Registry Identity

NPI1003987173
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameIDOL R MITCHELL DPM PC
Location Address437 EAST GRANT STREETMacomb, IL 61455-3352
Mailing Address437 East Grant StreetMacomb, IL 61455-3352 · (309) 837-3964 · Fax (309) 837-3966
Phone(309) 837-3964
Fax(309) 837-3966
Organization SubpartNo
Authorized OfficialIdol R. MitchellPresident · (309) 836-7900
Enumeration DateNovember 12, 2006
Last NPPES UpdateJune 30, 2008
✔ NPI 1003987173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in IL · 016004683
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
437 EAST GRANT STREET, Macomb, IL 61455
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Other Identifiers 8

Other4452210001Dmerc
Medicare NSC4452210001IL
Medicare ID-Type Unspecified12170IA
Other214428IL · Medicare Id
Other480034728Railroad Medicare
Medicare UPINU42201IL
Medicaid016004683IL
Medicare PINK33206IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IDOL RAY MITCHELL DPM
Podiatrist
437 EAST GRANT STREET
MACOMB, IL 61455
McDonough County (309) 837-3964

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Idol R Mitchell Dpm PC's NPI number?

The NPI number for Idol R Mitchell Dpm PC is 1003987173. It was assigned to this organization in the NPPES registry on November 12, 2006.

Where is Idol R Mitchell Dpm PC located?

Idol R Mitchell Dpm PC is located at 437 East Grant Street, Macomb, IL 61455. The listed phone number is (309) 837-3964.

What is Idol R Mitchell Dpm PC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Idol R Mitchell Dpm PC was last updated on June 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.