| Idol Ray Mitchell, DPM | |
| 
					437 East Grant Street, Macomb, IL 61455-3352  | |
| (309) 837-3964 | |
| (309) 837-3966 | 
| Full Name | Idol Ray Mitchell | 
|---|---|
| Gender | Male | 
| Speciality | |
| Experience | Years | 
| Location | 437 East Grant Street, Macomb, 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 | 
|---|---|---|---|
| 1508850694 | NPI | - | NPPES | 
| 4452210001 | Other | DMERC | |
| 480034728 | Other | RAILROAD MEDICARE PROV # | |
| 016004683 | Medicaid | IL | |
| 214428 | Other | IL | MEDICARE ID | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 213E00000X | Podiatrist | 016-004683 (Illinois) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Idol Ray Mitchell, DPM 437 East Grant Street, Macomb, IL 61455-3352 Ph: (309) 837-3964  | Idol Ray Mitchell, DPM 437 East Grant Street, Macomb, IL 61455-3352 Ph: (309) 837-3964  | 
Idol R Mitchell Dpm Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 437 East Grant Street, Macomb, IL 61455 Phone: 309-837-3964 Fax: 309-837-3966  | |
Dr. Max Ronald Rexroat, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 437 E Grant St, Macomb, IL 61455 Phone: 309-837-3964 Fax: 309-837-3966  | |
Max R Rexroat, Dpm, Ltd Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 437 E Grant St, Macomb, IL 61455 Phone: 309-837-3964  | |
Mcdonough County Hospital District Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 437 E Grant St, Macomb, IL 61455 Phone: 309-837-3964  |