Dr Cornelius Avery Mitchell, MD | |
31 W 155th St, Harvey, IL 60426-3556 | |
(708) 596-5177 | |
(708) 339-3583 |
Full Name | Dr Cornelius Avery Mitchell |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 23 Years |
Location | 31 W 155th St, Harvey, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225065345 | NPI | - | NPPES |
036115063 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036.115063 (Illinois) | Primary |
173000000X | Legal Medicine | 036115063 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Gottlieb Memorial Hospital | Melrose park, IL | Hospital |
Holy Cross Hospital | Chicago, IL | Hospital |
Loyola University Medical Center | Maywood, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Healogics Specialty Physicians Of Illinois, Llc | 4486877511 | 15 |
Entity Name | Healogics Specialty Physicians Of Illinois, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215355110 PECOS PAC ID: 4486877511 Enrollment ID: O20140519001061 |
Mailing Address | Practice Location Address |
---|---|
Dr Cornelius Avery Mitchell, MD 9119 S Exchange Ave, Chicago, IL 60617-4225 Ph: (773) 768-5000 | Dr Cornelius Avery Mitchell, MD 31 W 155th St, Harvey, IL 60426-3556 Ph: (708) 596-5177 |
Ted George Ody Achufusi, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 Fax: 708-596-5518 | |
Dr. Laverne Monise Barnes, DO, MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 Fax: 708-522-0410 | |
Aziz H Abed, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Ingalls Dr, Harvey, IL 60426 Phone: 708-333-2300 | |
Jennifer Taylor, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 Fax: 708-339-3583 | |
Robert C Watkins Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 Fax: 708-596-5518 | |
Felicia S Williams, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 |