Idol R Mitchell Dpm PC

Idol R Mitchell Dpm PC is a healthcare organization registered as Podiatrist in Macomb, IL, holding Type 2 (organization) NPI 1003987173 since 2006. The authorized official on file is Idol Mitchell, President.

✓ Active NPI ✓ Valid NPI checksum

NPI	1003987173
Entity type	Organization (Type 2)
Legal business name	Idol R Mitchell Dpm PC
Practice address	437 EAST GRANT STREET, Macomb, IL, 61455
Phone	3098373964
Fax	3098373966
Enumeration date	2006-11-12
Last updated in NPPES	2008-06-30

Authorized official

Name	Idol Mitchell
Title	President
Phone	3098367900

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
213E00000X	Podiatrist	Primary	016004683	IL

Other identifiers

Identifier	Type	State	Issuer
016004683	Medicaid	IL	—
480034728	Other	—	RAILROAD MEDICARE
4452210001	Other	—	DMERC
214428	Other	IL	MEDICARE ID

Copy-ready billing details

Provider: Idol R Mitchell Dpm PC
NPI: 1003987173
Taxonomy: 213E00000X (Podiatrist)
Address: 437 EAST GRANT STREET, Macomb, IL, 61455

Providers at this address

NPI	Name	Type	Specialty	Location
1508850694	Idol Mitchell	Individual	Podiatrist	Macomb, IL

Verify this record

Cross-check NPI 1003987173 against the authoritative CMS record: view Idol R Mitchell Dpm PC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-06-30. Verify at npiregistry.cms.hhs.gov.

Where is Idol R Mitchell Dpm PC located?

The practice location on file with NPPES is in Macomb, IL.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2008-06-30.