Idol Mitchell, DPM

NPI 1508850694 · on the registry since 2005 · sole proprietor

Practice

Address: 437 East Grant Street
Macomb, IL 61455
Phone: (309) 837-3964
Fax: (309) 837-3966
Organisation at this address: Idol R Mitchell Dpm Pc
Max R Rexroat, Dpm, Ltd
Mcdonough County Hospital District
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 213E00000X
213E00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-05-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois