Jessica M Mitchell (NPI# 1174739205, PAC ID# 6800978586) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1174739205 |
| PAC ID by PECOS | 6800978586 |
| Professional Enrollment ID | I20080204000259 |
| Full Name | Jessica M Mitchell |
| Organization Legal Name | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| Address |
114 W Stratford Dr Suite E Peoria IL 61614-7300 |
| Phone Number | 3097404270 |
| Gender | F |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 2007 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9436061827 |
| Number of Group Practice Members | 113 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140067 | OSF SAINT FRANCIS MEDICAL CENTER |
| 140001 | GRAHAM HOSPITAL ASSOCIATION |
| Address | Phone | Organization |
|---|---|---|
| 114 W Stratford Dr, Suite E, Peoria, IL 61614-7300 | 3097404270 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| Organization Legal Name | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| Physicians | 73 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cameron Taylor | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 111 Oakwood Rd, East Peoria, IL 61611-1853 |
| Jamie J Rinehart | Physician Assistant | Central Illinois Radiological Associates Ltd | 114 W Stratford Dr, Suite E, Peoria, IL 61614-7300 |
| Alexander Roman Oshmyansky | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 8712 W Fair Dr, Littleton, CO 80123-3229 |
| Nuha Krad | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 172 Gitano, Irvine, CA 92618-1115 |
| Leon J Wise | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 107 Watters Dr, Dwight, IL 60420-1280 |
| Lawrence C Wang | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 350 N Wall St, Kankakee, IL 60901-2901 |
| Grace A Tye | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 956 Calle Santa Cruz, Encinitas, CA 92024-6609 |
| Hugh Mcswain | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 31 Dorset Ln, Mill Valley, CA 94941-5203 |
| Miriam Jill Sullivan | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 114 W Stratford Dr E, Peoria, IL 61614-7300 |
| Howard I Roth | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 350 N Wall St, Kankakee, IL 60901-2901 |
| Street Address |
114 W STRATFORD DR SUITE E |
| City | PEORIA |
| State | IL |
| Zip | 61614-7300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie J Rinehart | Physician Assistant | Central Illinois Radiological Associates Ltd | 114 W Stratford Dr, Suite E, Peoria, IL 61614-7300 |
| Vincent J Zata | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 114 W Stratford Dr, Suite E, Peoria, IL 61614-7300 |
| Joel Baber | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 114 W Stratford Dr, Suite E, Peoria, IL 61614-7300 |
| Shawn A Mayer | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 114 W Stratford Dr, Suite E, Peoria, IL 61614-7300 |
| Dean Ross Collette | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 114 W Stratford Dr, Suite E, Peoria, IL 61614-7300 |
| Joel E Tennenhouse | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 114 W Stratford Dr, Suite E, Peoria, IL 61614-7300 |
| Simon V Bekker | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 114 W Stratford Dr, Suite E, Peoria, IL 61614-7300 |
| Wallace M Anderson | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 114 W Stratford Dr, Suite E, Peoria, IL 61614-7300 |
| Scott D Long | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 114 W Stratford Dr, Suite E, Peoria, IL 61614-7300 |
| David Thomas Downs | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 114 W Stratford Dr, Suite E, Peoria, IL 61614-7300 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt Michael Pepperell | Chiropractic | 3530 W Willow Knolls Dr, Peoria, IL 61614-1010 | |
| Caleb O Johnson | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 3531 Willow Knolls Dr, Peoria, IL 61614-1078 |
| Lance A Reiman | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 3531 Willow Knolls Dr, Peoria, IL 61614-1078 |
| Caitlin Marie Pribble | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 3531 Willow Knolls Dr, Peoria, IL 61614-1078 |
| James L Swingler | Obstetrics/gynecology | 7501 N University St, Suite 113, Peoria, IL 61614-1234 | |
| Christine A Haynes | Chiropractic | Haynes Family Chiropractic Inc | 1921 W Willow Knolls Dr, Suite D, Peoria, IL 61614-1243 |
| Kyle J Haynes | Chiropractic | Haynes Family Chiropractic Inc | 1921 W Willow Knolls Dr, Suite D, Peoria, IL 61614-1243 |
| Christine Marie Fletcher | Qualified Speech Language Pathologist | Speech and Language Rehabilitation Service Ltd | 2001 W Willow Knolls Dr, Suite 106, Peoria, IL 61614-1262 |
| Danila L Mcasey | Qualified Speech Language Pathologist | Speech and Language Rehabilitation Service Ltd | 2001 W Willow Knolls Dr, Suite 106, Peoria, IL 61614-1262 |
| Keith A Kramer | Chiropractic | Kramer Chiropractic and Acupuncture | 2208 W Willow Knolls Rd, Peoria, IL 61614-1467 |
| Find all physicians in zip 61614 | |||
| City | PEORIA |
| Zip Code | 61614 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PEORIA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jessica M Mitchell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.