CHARLES L MITCHELL (NPI# 1356372197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356372197 |
| Entity Type | Individual |
| Full Name | CHARLES L MITCHELL |
| Credential | DPM |
| Practice Address |
1424 E 53rd St Suite 301 Chicago IL 60615-4500 |
| Practice Telephone | 7733243338 |
| Practice Fax Number | 7733241866 |
| Mailing Telephone | 7733243338 |
| Mailing Fax Number | 7733241866 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2015-04-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016-004908 | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 016004908 | 05 | |
| IL | DEPT OF LABOR | 609279300 | 01 |
| IL | BLUE CROSS BLUE SHIELD | 1634266 | 01 |
| IL | RAILROAD MEDICARE | P00243141 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902186596 | Charles Mitchell | Counselor | 4 Trescott Dr, Durham, NC 27703-3796 | 2011-08-26 |
| 1437195120 | Charles Ray Mitchell | Family Medicine | 25 Airpark Ct, Greenville, SC 29607-6188 | 2006-06-21 |
| 1063409845 | Charles Austin Mitchell Jr. | Dermatology | 206b Babb Dr, Lebanon, TN 37087-2508 | 2005-10-05 |
| 1356341721 | Charles Howard Mitchell | Surgery | 200 Melville Dr, Pauls Valley, OK 73075-6600 | 2005-07-28 |
| 1245238567 | Charles Austin Mitchell IIi | Internal Medicine | 5505 Edmondson Pike, 10, Nashville, TN 37211-5872 | 2005-07-11 |
| 1437152915 | Charles D Mitchell | Specialist | 3500 I-30 Bldg C, Ste 101, Mesquite, TX 75150 | 2005-05-27 |
| 1093334146 | Charles Franklin Mitchell IIi | Student in an Organized Health Care Education/Training Program | 2400 W Villard Ave, Milwaukee, WI 53209-4901 | 2020-04-09 |
| 1902461445 | Charles Branton Mitchell | Counselor | 305 Westfield Rd, Knoxville, TN 37919-4824 | 2019-05-09 |
| 1689199143 | Charles Mitchell | Counselor | 86 Beach St, Westerly, RI 02891-2718 | 2017-08-07 |
| 1316347891 | Charles Lester Talan Mitchell | Physical Therapist | 520 Palm Coast Pkwy Sw, St # 101, Palm Coast, FL 32137-4742 | 2014-09-03 |
| Street Address |
1424 E 53RD ST SUITE 301 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60615-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750378006 | Rolande D Balan | Chiropractor | 1424 E 53rd St, Suite 203, Chicago, IL 60615-4500 | 2005-10-03 |
| 1699018689 | Jesyka E Thomas | Speech-Language Pathologist | 1424 E 53rd St, Suite 307, Chicago, IL 60615-4500 | 2013-03-28 |
| 1225264179 | Rajan Sharma, Dds, Msd, PC | Dentist | 1424 E 53rd St, #209, Chicago, IL 60615-4500 | 2009-06-05 |
| 1780810630 | The Dental Specialists | Dentist | 1424 E 53rd St, #209, Chicago, IL 60615-4500 | 2009-06-05 |
| 1366598534 | Rufus Lawshea | Dentist | 1424 E 53rd St, 307, Chicago, IL 60615-4500 | 2007-01-28 |
| 1376615518 | Chicago Surgicare, PC | Clinic/Center | 1424 E 53rd St, Chicago, IL 60615-4500 | 2006-11-14 |
| 1700957271 | Elaine F Ward | Chiropractor | 1424 E 53rd St, Suite 203, Chicago, IL 60615-4500 | 2006-11-13 |
| 1912081324 | Arnell A. Brady | Speech-Language Pathologist | 1424 E 53rd St, Suite 307, Chicago, IL 60615-4500 | 2006-10-24 |
| 1104926344 | Hyde Park Chiropractic Wellness Center Sc | Chiropractor | 1424 E 53rd St, Suite 203, Chicago, IL 60615-4500 | 2006-09-25 |
| 1750312690 | Mitchell Foot & Ankle PC | Podiatrist | 1424 E 53rd St, Suite 301, Chicago, IL 60615-4500 | 2006-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170221 | Cook County | Technician, Other | 430 East 51st Pl, Chicago, IL 60615 | 2020-09-28 |
| 1700498326 | Connie Frances Davis | Massage Therapist | 5481 S. Cornell, Chicago, IL 60615 | 2020-08-17 |
| 1134781974 | Lifestyle Rejuvenation Medical Group Pllc | Chiropractor | 1740 E 55th Street, Chicago, IL 60615 | 2019-07-02 |
| 1275007767 | Michelle Alyse Costello | Social Worker | 1225 E 53rd St, Suite 606, Chicago, IL 60615 | 2019-01-17 |
| 1194207522 | Cindy Louise Lys | Social Worker | 1525 E 53rd Street Suite 516-4, Chicago, IL 60615 | 2018-09-01 |
| 1861983660 | Pranusha Pinna | Student in an Organized Health Care Education/Training Program | 1850 W. Harrison St., Chicago, IL 60615 | 2018-05-29 |
| 1528577632 | Jonah Waseberg | Counselor | 1100 E.55th St, Chicago, IL 60615 | 2017-09-21 |
| 1710404496 | Tawann Jackson | Psychologist | 360 Blair Lane, Door 13, Bolingbrook, IL 60615 | 2017-08-24 |
| 1194259069 | Molly Kachale Netter | Nurse Practitioner | 1554 E 55th St., Chicago, IL 60615 | 2017-04-17 |
| 1205387990 | Kirk Remon Riddle | Counselor | 1525 E. 53rd Street, Suite 425, Chicago, IL 60615 | 2016-10-18 |
| Find all providers in zip 60615 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821631367 | Dr Christine Heck PC | Podiatrist | 111 N Wabash Ave Ste 1914, Chicago, IL 60602-2968 | 2019-10-28 |
| 1013562578 | Bishoy Atef Botros | Podiatrist | 820 S Damen Ave Fl 7, Chicago, IL 60612-3728 | 2019-08-01 |
| 1346752656 | Prairie Foot & Ankle, P.C. | Podiatrist | 7447 West Talcott Ave, Suite 406, Chicago, IL 60163-3275 | 2017-10-26 |
| 1558886549 | Castle Podiatry, LLC | Podiatrist | 11628 S Western Ave, Chicago, IL 60643-4730 | 2017-08-10 |
| 1669854089 | Adam Shapiro | Podiatrist | 3710 N Pine Grove Ave, Chicago, IL 60613-4186 | 2015-06-22 |
| 1891103925 | Nathan Kramer | Podiatrist | 320 S Ashland Ave Ste 2, Chicago, IL 60607-2856 | 2014-08-01 |
| 1700292711 | Archer Foot Clinic | Podiatrist | 3113 S Archer Ave, Chicago, IL 60608-6223 | 2014-07-10 |
| 1871909382 | Rashad Sayeed | Podiatrist | 4646 N. Marine Drive, Chicago, IL 60640-0000 | 2014-07-03 |
| 1275964918 | Aleksandr Komarov Dpm LLC | Podiatrist | 1360 N Lake Shore Dr Apt 708, Chicago, IL 60610-8442 | 2013-12-05 |
| 1568895043 | Allison Rottman | Podiatrist | 4734 N Beacon St, 2w, Chicago, IL 60640-4847 | 2013-08-19 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.