| 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 | 24 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 |
| Loyola University Medical Center | Maywood, IL | Hospital |
| Holy Cross Hospital | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Healogics Specialty Physicians Of Illinois, Llc | 4486877511 | 14 |
| 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 |
Dr. Stephanie Liggons, FNP-BC Family Medicine Medicare: Medicare Enrolled 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: Not Enrolled in Medicare Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 Fax: 708-596-5518 | |
Dr. Jerome Howard Buster, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 |