person
Charles L Mitchell, DPM
Foot & Ankle Surgery Podiatrist in Chicago, Illinois
NPI 1356372197

Charles L Mitchell is a Foot & Ankle Surgery Podiatrist based in Chicago, IL and is specialized in Foot & Ankle Surgery. Charles L Mitchell practices in Chicago, IL and has the professional credentials of DPM. The NPI Number for Charles L Mitchell is 1356372197 and holds a License No. 016-004908 (Illinois).

The current practice location address for Charles L Mitchell is 1424 E 53Rd St, Chicago, IL and can be reached out via phone at 773-324-3338 and via fax at 773-324-1866.

Location: 1424 E 53Rd St, Chicago, IL, 60615-4500
person
Provider Profile Details
NPI Number
1356372197
Provider Name
Charles L Mitchell
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1424 E 53Rd St, Chicago, IL, 60615-4500
Phone Number
773-324-3338
Fax Number
773-324-1866
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1634266 01 IL BLUE CROSS BLUE SHIELD
P00243141 01 IL RAILROAD MEDICARE
016004908 05 IL
609279300 01 IL DEPT OF LABOR
institution
Provider Business Practice Location Address Details
Address
1424 E 53Rd St
City
State
Zip
60615-4500
Phone Number
773-324-3338
Fax Number
773-324-1866
person
Provider Business Mailing Address Details
Address
1424 E 53Rd St
City
State
Zip
60615-4500
Phone Number
773-324-3338
Fax Number
773-324-1866
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
016-004908 (Illinois)
Definition
Definition to come...
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