DR. MITCHELL DREXLER (NPI# 1922021674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922021674 |
Entity Type | Individual |
Full Name | DR. MITCHELL DREXLER |
Other Name | DR. MITCHELL DREXLER |
Credential | MD |
Practice Address |
4815 W 83rd St Burbank IL 60459-2791 |
Mailing Address |
3553 Buena Rd Highland Park IL 60035-1003 |
Practice Telephone | 7084253135 |
Practice Fax Number | 7084256885 |
Mailing Telephone | 8478587035 |
Mailing Fax Number | 7084232991 |
Enumeration Date | 2006-07-25 |
Last Update Date | 2016-01-14 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | 016002638 | IL | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 016002638 | 05 | |
IL | SUBSTANCE CONTROLLED | 316000425 | 01 |
IL | BCBS | 60020753 | 01 |
IL | DEA | AD4444270 | 01 |
IL | LICENSE | 016002638 | 01 |
Street Address |
4815 W 83RD ST |
City | BURBANK |
State | IL |
Zip Code | 60459-2791 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619475852 | Albina Optometric | Optometrist | The Eye Care Center, Ltd, 8525 S Harlem Ave, Burbank, IL 60459 | 2018-01-23 |
1265943583 | Sara Christine De Van | Speech-Language Pathologist | 7600 South Mason Avenue, Burbank, IL 60459 | 2017-10-13 |
1710426465 | Nikki Negrete | Specialist/Technologist | 8520 S. Leclaire Ave., Burbank, IL 60459 | 2017-02-14 |
1700335734 | Sheefa Pharmacy Inc. | Pharmacy | 8519 S Harlem Avenue, Burbank, IL 60459 | 2016-10-03 |
1518325695 | Orthodontic Experts | Dentist | 7820 S. Cicero Ave, Burbank, IL 60459 | 2016-02-04 |
1528438306 | Lila Ayyad-alharsha | Behavioral Analyst | 6146 W. State Rd., Burbank, IL 60459 | 2015-10-06 |
1467852483 | Chicago Counseling & Training, Inc | Counselor | 4817 W. 83rd Street, Burbank Medical Center, Burbank, IL 60459 | 2014-08-27 |
1629344247 | Michael Joseph Fary | Optometrist | 7708 S Cicero Ave, Suite A5, Burbank, IL 60459 | 2012-03-28 |
1265732176 | Syeda Kulsoom Ali | Family Medicine | 4901 W 79th St Floor 2, Burbank, IL 60459 | 2010-10-26 |
1114119781 | Bonnes and Vasquez, P.C. | Social Worker | 13152 S. Cicero Ave, Pmb 260, Crestwood, IL 60459 | 2007-08-16 |
Find all providers in zip 60459 |
Taxonomy Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124463179 | Irfan Ahsan | Podiatrist | 191 S Buena Vista St Ste 235, Burbank, CA 91505-4563 | 2013-05-03 |
1881708824 | Artin Gevorgian | Podiatrist | 2625 W Alameda Ave Ste 314, Burbank, CA 91505-4822 | 2006-08-18 |
1871500371 | Keith D Sanneman | Podiatrist | 520 N Orchard Dr, Burbank, CA 91506-1951 | 2006-08-01 |
1386664084 | Elliot L. Plotkin | Podiatrist | 201 S Buena Vista St Ste 305, Burbank, CA 91505-4569 | 2006-07-19 |
1184694762 | Stuart C Steinberg | Podiatrist | 3322 W Magnolia Blvd, Burbank, CA 91505-2907 | 2006-01-25 |
1063490035 | Burbank Foot Doctors | Podiatrist | 3906 W Burbank Blvd, Burbank, CA 91505-2117 | 2006-01-09 |
1659470367 | Burbank Podiatry Asscociates Group A Professional Corporation | Podiatrist | 241 W Olive Ave, Burbank, CA 91502-1825 | 2006-09-21 |
1619076429 | Franklin Kase | Podiatrist | 241 W Olive Ave, Burbank, CA 91502-1825 | 2006-09-21 |
1063516409 | Oliver Wang | Podiatrist | 241 W Olive Ave, Burbank, CA 91502-1825 | 2006-09-07 |
1043229727 | John W Wall | Podiatrist | 1411 W Olive Ave, Suite C, Burbank, CA 91506-2427 | 2006-08-05 |
Find all providers in BURBANK |
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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.