| John A Mitchell, MD | |
|
350 N Wall St, Kankakee, IL 60901-2901 | |
| (800) 444-6110 | |
| Not Available |
| Full Name | John A Mitchell |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 35 Years |
| Location | 350 N Wall St, Kankakee, 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 |
|---|---|---|---|
| 1528285442 | NPI | - | NPPES |
| 036089028 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 036089028 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Loyola University Medical Center | Maywood, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Loyola University Medical Center | 3779488903 | 926 |
| Entity Name | Loyola University Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
| Entity Name | Mount Sinai Community Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376715896 PECOS PAC ID: 5991600405 Enrollment ID: O20040202001032 |
| Entity Name | North American Partners In Anesthesia Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534 |
| Entity Name | Northstar Anesthesia Of Illinois, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962822395 PECOS PAC ID: 4688893878 Enrollment ID: O20140922000405 |
| Mailing Address | Practice Location Address |
|---|---|
| John A Mitchell, MD 925 Sherwood Dr, Lake Bluff, IL 60044-2203 Ph: () - | John A Mitchell, MD 350 N Wall St, Kankakee, IL 60901-2901 Ph: (800) 444-6110 |
Prit Shah, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 617-638-6500 Fax: 815-933-1671 | |
Dr. Sunny Niranjan Shah, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 Fax: 815-935-7867 | |
Jasmine Mathew Maly, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 400 N Wall St, Suite 304, Kankakee, IL 60901 Phone: 815-929-1388 Fax: 815-935-7062 | |
David Yeung, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 | |
Dr. Yasser A Alhaj-hussein, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Dept Of Anesthesesia, Kankakee, IL 60901 Phone: 815-933-1671 |