Cornelius Avery Mitchell (NPI# 1225065345, PAC ID# 2769491778) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1225065345 |
| PAC ID by PECOS | 2769491778 |
| Professional Enrollment ID | I20060419000102 |
| Full Name | Cornelius Avery Mitchell |
| Organization Legal Name | ACCELECARE WOUND PROFESSIONALS OF KANSAS PA |
| Address |
1324 N Sheridan Rd Vista Medical Center East Waukegan IL 60085-2161 |
| Phone Number | 8473603000 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 2001 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 9931378106 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1324 N Sheridan Rd, Vista Medical Center East, Waukegan, IL 60085-2161 | 8473603000 | ACCELECARE WOUND PROFESSIONALS OF KANSAS PA |
| 1324 N Sheridan Rd, Waukegan, IL 60085-2161 | 8473603000 | ACCELECARE WOUND PROFESSIONALS OF KANSAS PA |
| Organization Legal Name | ACCELECARE WOUND PROFESSIONALS OF KANSAS PA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erich A Wolff | General Practice | Accelecare Wound Professionals of Kansas Pa | 1655 Yarrow St, Lakewood, CO 80214-6030 |
| Street Address |
1324 N SHERIDAN RD VISTA MEDICAL CENTER EAST |
| City | WAUKEGAN |
| State | IL |
| Zip | 60085-2161 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adeel Kamal | Physician Assistant | App of Illinois Hm Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Josia N Henry | Internal Medicine | App of Illinois Hm Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Haili Campanella | Nurse Practitioner | App of Illinois Hm Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Jeffrey B Helwig | Emergency Medicine | App of Illinois Ed Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| James Song | Diagnostic Radiology | Vista Imaging Associates Sc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| David N Zull | Emergency Medicine | App of Illinois Ed Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Wei Wei | Physician Assistant | App of Illinois Hm Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Marina A Sodagar | Physician Assistant | App of Illinois Hm Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Sara Ferrera | Emergency Medicine | App of Illinois Ed Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Harold L Evans | Pathology | Lake Shore Pathologists Sc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas M Winslow | Chiropractic | 1390 N Green Bay Rd, Waukegan, IL 60085-1104 | |
| Robert Paul Cafe | Nurse Practitioner | App of Illinois Ed Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Paolo Mercado | Nurse Practitioner | App of Illinois Hm Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Smita Singh | Internal Medicine | App of Illinois Hm Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Todd William Arbiture | Emergency Medicine | App of Illinois Ed Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Kenji Oyasu | Emergency Medicine | App of Illinois Ed Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Calvin B Terrell | Emergency Medicine | App of Illinois Ed Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Gerald Holtz | Diagnostic Radiology | Vista Imaging Associates Sc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Lea R Wrobel | Emergency Medicine | App of Illinois Ed Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Amber Servatius | Internal Medicine | App of Illinois Hm Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Find all physicians in zip 60085 | |||
| City | WAUKEGAN |
| Zip Code | 60085 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | WAUKEGAN + FAMILY PRACTICE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.