Charlotte H Mitchell (NPI# 1508831918, PAC ID# 9133200827) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1508831918 |
| PAC ID by PECOS | 9133200827 |
| Professional Enrollment ID | I20080118000744 |
| Full Name | Charlotte H Mitchell |
| Address |
30 E 15th St Suite 310 Chicago Heights IL 60411-3459 |
| Gender | F |
| Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140172 | FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS |
| 140150 | UNIVERSITY OF ILLINOIS HOSPITAL |
| 140250 | ADVOCATE SOUTH SUBURBAN HOSPITAL |
| 140191 | INGALLS MEMORIAL HOSPITAL |
| 140186 | RIVERSIDE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2875 W 19th St, Chicago, IL 60623-3501 | 7734841000 | PHYSICIANS MEDICAL SERVICES LTD |
| 30 E 15th St, Suite 310, Chicago Heights, IL 60411-3459 | ||
| 20303 Crawford Ave, Suite 230, Olympia Fields, IL 60461-1073 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
30 E 15TH ST SUITE 310 |
| City | CHICAGO HEIGHTS |
| State | IL |
| Zip | 60411-3459 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raghuvansh Kumar | Physical Medicine and Rehabilitation | 30 E 15th St, Suite 312, Chicago Heights, IL 60411-3459 | |
| Larina Branch | Nurse Practitioner | Franciscan Physician Network | 30 E 15th St, Suite 202, Chicago Heights, IL 60411-3476 |
| Andrea C. Duerinck | Nurse Practitioner | Franciscan Physician Network | 30 E 15th St, Suite 202, Chicago Heights, IL 60411-3476 |
| Nitet Charo | Podiatry | 30 E 15th St, Suite 206, Chicago Heights, IL 60411-3476 | |
| Tilemahos D Spyratos | Internal Medicine | Specialty Physicians of Illinois LLC | 30 E 15th St, Suite 207, Chicago Heights, IL 60411-3476 |
| Gameli A Dekayie-amenu | Emergency Medicine | Emerge Medstaffing LLC | 30 E 15th St, Chicago Heights, IL 60411-3459 |
| John P Tibble | Family Medicine | Franciscan Physician Network | 30 E 15th St, Suite 202, Chicago Heights, IL 60411-3476 |
| Ather A Malik | Family Medicine | Franciscan Physician Network | 30 E 15th St, Suite 202, Chicago Heights, IL 60411-3476 |
| Lance Wallace | Internal Medicine | Franciscan Physician Network | 30 E 15th St, Suite 202, Chicago Heights, IL 60411-3476 |
| Brandon P Wisinski | Emergency Medicine | Emerge Medstaffing LLC | 30 E 15th St, Chicago Heights, IL 60411-3459 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph M Lach | Family Medicine | Franciscan Physician Network | 211 Dixie Hwy, Chicago Heights, IL 60411-1696 |
| Vijaykumar Rao | Nephrology | Associates In Nephrology Sc | 177 W Joe Orr Rd, Chicago Heights, IL 60411-1733 |
| Dennis J Wolny | Podiatry | 275 201st St, Chicago Heights, IL 60411-1742 | |
| Frank Narcisi Jr. | Podiatry | 275 201st St, Chicago Heights, IL 60411-1742 | |
| Ronald E Greenspan | Optometry | Holmberg Optometric Ltd | 366 Dixie Hwy, Chicago Heights, IL 60411-1758 |
| Kathrine L Holmberg | Optometry | Holmberg Optometric Ltd | 366 Dixie Hwy, Chicago Heights, IL 60411-1758 |
| Nhat Nguyen | Optometry | Holmberg Optometric Ltd | 366 Dixie Hwy, Chicago Heights, IL 60411-1758 |
| Tiffany Hn Tang | Optometry | Holmberg Optometric Ltd | 366 Dixie Hwy, Chicago Heights, IL 60411-1758 |
| Yazen Joudeh | Internal Medicine | 316 Dixie Hwy, Chicago Heights, IL 60411-1770 | |
| Russell Marionno Guzzo | Chiropractic | 316 Dixie Hwy, Chicago Heights, IL 60411-1770 | |
| Find all physicians in zip 60411 | |||
| City | CHICAGO HEIGHTS |
| Zip Code | 60411 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CHICAGO HEIGHTS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Charlotte H 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.