Philip W Mitchell, MD | |
1404 N Maple St, Normal, IL 61761-1422 | |
(309) 452-8404 | |
Not Available |
Full Name | Philip W Mitchell |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1404 N Maple St, Normal, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508839895 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207P00000X | Emergency Medicine | 036-070228 (Illinois) | Primary |
Entity Name | Advocate Health And Hospitals Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
Mailing Address | Practice Location Address |
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Philip W Mitchell, MD 1404 N Maple St, Normal, IL 61761-1422 Ph: (309) 452-8404 | Philip W Mitchell, MD 1404 N Maple St, Normal, IL 61761-1422 Ph: (309) 452-8404 |
Julie Lewis, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1304 Franklin Ave, Emergency Department, Normal, IL 61761 Phone: 309-454-1400 | |
Dr. Stephanie Sullivan, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-454-1400 | |
Dr. Thomas Pliura, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Virginia & Franklin Streets, Normal, IL 61761 Phone: 309-827-4321 | |
Dr. Melvin Ehrhardt, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Virginia & Franklin Streets, Normal, IL 61761 Phone: 309-827-4321 | |
Dr. Eric Wernsman, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Virgina & Franklin Streets, Normal, IL 61761 Phone: 309-827-4321 | |
Tomasz Przednowek, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-268-5130 | |
Dr. Parasakthi Kolandaivelu, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Virginia & Franklin Streets, Normal, IL 61761 Phone: 309-827-4321 |