COREY MITCHELL (NPI# 1811435779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811435779 |
| Entity Type | Individual |
| Full Name | COREY MITCHELL |
| Practice Address |
4528 S Evans Ave Chicago IL 60653-3521 |
| Practice Telephone | 3128567251 |
| Mailing Telephone | 3128567251 |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2017-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171WH0202X |
Contractor Specialization: Home Modifications |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376641415 | Corey J Mitchell | Speech-Language Pathologist | 704 White Daisies Ct, Raleigh, NC 27610-2187 | 2006-09-20 |
| 1124631924 | Corey Mitchell | Counselor | 150 Mount Hope Ave, Rochester, NY 14620-1016 | 2020-08-31 |
| 1063768349 | Corey Mitchell | Behavioral Analyst | 1101 W Moana Ln, Suite 2, Reno, NV 89509-4775 | 2012-07-24 |
| Street Address |
4528 S EVANS AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60653-3521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881215804 | Pamela Ann Brazelton-sykes | Counselor | Pioneer Gardens Supportive Living, 3800 S King Dr, Chicago, IL 60653 | 2020-04-30 |
| 1962915439 | Pickup Transport Lllp | Non-emergency Medical Transport (VAN) | 4418 S. Oakenwald Ave, Chicago, IL 60653 | 2017-11-07 |
| 1245758309 | Qi Wellness LLC | Case Management | 525 E 46th Place, Chicago, IL 60653 | 2017-09-08 |
| 1598202897 | Fadesire O Ajuwon | Registered Nurse | 4218 S King Dr, 1n, Chicago, IL 60653 | 2017-01-24 |
| 1013464619 | Roundys Supermarkets Inc | Pharmacy | 3857 S Dr Martin Luther King Jr Dr, Chicago, IL 60653 | 2016-09-01 |
| 1417384793 | Griffin Orthodontics PC | Dentist | 1040 E 47th Street, Chicago, IL 60653 | 2013-10-02 |
| 1114350659 | Carita Dale Johnson | Pharmacist | 3753 S. Cottage Grove Ave, 104, Chicago, IL 60653 | 2013-08-20 |
| 1245677848 | Mercy Diagnostic and Treatment Center | Clinic/Center | 3755 S Cottage Grove, Chicago, IL 60653 | 2013-05-23 |
| 1952745937 | Mercy Community Pharmacy At Oakwood Shores | Pharmacy | 3753 S. Cottage Grove, Chicago, IL 60653 | 2013-04-22 |
| 1386952315 | Jami S Little | Developmental Therapist | 617 East 41st, Chicago, IL 60653 | 2010-09-24 |
| Find all providers in zip 60653 | ||||
| Taxonomy Code | 171WH0202X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| Specialization | Home Modifications |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114431798 | Independent Living Solutions, Inc. | Contractor | 6327 N Pulaski Rd, Chicago, IL 60646-4511 | 2017-11-19 |
| 1033464565 | Viola Nikita Hunter | Contractor | 176 North Laporte Ave, Chicago, IL 60644-3510 | 2012-07-20 |
| 1811141740 | Josh Mallan | Contractor | 1444 W Granville Ave Apt 3, Chicago, IL 60660-1800 | 2008-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548897986 | Cr Vaughn Inc | Contractor | 600 Dunn Ln, Goreville, IL 62939-2487 | 2020-03-25 |
| 1306476692 | Wanake Schaeffer | Contractor | 705 Brittany Sq Apt 2, Grayslake, IL 60030-1356 | 2020-01-25 |
| 1033695325 | Keith Phillips | Contractor | 22 Veterans Dr, Harrisburg, IL 62946-3320 | 2018-07-19 |
| 1386157618 | John Michael Beckwith | Contractor | 1508 W Anthony Dr, Champaign, IL 61821-1191 | 2017-11-08 |
| 1700321775 | Alan Stirling | Contractor | 447 S Center Ave, Bradley, IL 60915-2113 | 2016-12-30 |
| 1780133397 | David Adams | Contractor | 308 Willards Ferry Rd, Jonesboro, IL 62952-1113 | 2016-09-23 |
| 1689128894 | Timothy Scott Barton Jr. | Contractor | 3039 Golf Ter, Apt 12, Danville, IL 61832-1230 | 2016-08-05 |
| 1437520913 | Rebecca Backhus | Contractor | 206 W Wall St Apt 1, Morrison, IL 61270-2300 | 2015-10-09 |
| 1912277690 | Home Services Direct, LLC | Contractor | 811 Rohlwing Rd, Rolling Meadows, IL 60008-1035 | 2012-01-11 |
| 1912292780 | Chris Ciaschini | Contractor | 401 S. Gary Ave, Suite 1, Roselle, IL 60172 | 2011-06-09 |
| Find all providers with the same taxonomy | ||||
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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.