Wimol A Mitrakul (NPI# 1013066257, PAC ID# 6002858594) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1013066257 |
| PAC ID by PECOS | 6002858594 |
| Professional Enrollment ID | I20050525000249 |
| Full Name | Wimol A Mitrakul |
| Organization Legal Name | INSTITUTE FOR PERSONAL DEVELOPMENT |
| Address |
1401 Lakewood Dr Suite A Morris IL 60450-3352 |
| Phone Number | 8159426323 |
| Gender | F |
| Credential | MD |
| Medical School | RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY |
| Graduation Year | 2001 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6608780481 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1401 Lakewood Dr, Suite A, Morris, IL 60450-3352 | 8159426323 | INSTITUTE FOR PERSONAL DEVELOPMENT |
| Organization Legal Name | INSTITUTE FOR PERSONAL DEVELOPMENT |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pamela S Grace | Psychologist, Clinical | Institute for Personal Development | 1401 Lakewood Dr, Suite A, Morris, IL 60450-3352 |
| Gregory M Hawley | Psychiatry | Institute for Personal Development | 1401 Lakewood Dr, Suite A, Morris, IL 60450-3352 |
| Corrin L Scavo | Psychologist, Clinical | Institute for Personal Development | 1401 Lakewood Dr, Suite A, Morris, IL 60450-3352 |
| Elizabeth Kurian | Psychiatry | Institute for Personal Development | 1401 Lakewood Dr, Suite A, Morris, IL 60450-3352 |
| Catherine A Gianan | Nurse Practitioner | Institute for Personal Development | 1401 Lakewood Dr, Suite A, Morris, IL 60450-3352 |
| Diane R Funk | Clinical Social Worker | Institute for Personal Development | 1401 Lakewood Dr, Suite A, Morris, IL 60450-3352 |
| Joyce Azzaline | Nurse Practitioner | Institute for Personal Development | 1401 Lakewood Dr, Suite A, Morris, IL 60450-3352 |
| Lukasz Konopka | Psychologist, Clinical | Institute for Personal Development | 1401 Lakewood Dr, Suite A, Morris, IL 60450-3352 |
| Kimberley Ragan Gelbort | Psychologist, Clinical | Institute for Personal Development | 1401 Lakewood Dr, Suite A, Morris, IL 60450-3352 |
| Stacey Joy Feuer | Psychologist, Clinical | Institute for Personal Development | 1401 Lakewood Dr, Suite A, Morris, IL 60450-3352 |
| Street Address |
1401 LAKEWOOD DR SUITE A |
| City | MORRIS |
| State | IL |
| Zip | 60450-3352 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pamela S Grace | Psychologist, Clinical | Institute for Personal Development | 1401 Lakewood Dr, Suite A, Morris, IL 60450-3352 |
| Gregory M Hawley | Psychiatry | Institute for Personal Development | 1401 Lakewood Dr, Suite A, Morris, IL 60450-3352 |
| Corrin L Scavo | Psychologist, Clinical | Institute for Personal Development | 1401 Lakewood Dr, Suite A, Morris, IL 60450-3352 |
| Elizabeth Kurian | Psychiatry | Institute for Personal Development | 1401 Lakewood Dr, Suite A, Morris, IL 60450-3352 |
| Catherine A Gianan | Nurse Practitioner | Institute for Personal Development | 1401 Lakewood Dr, Suite A, Morris, IL 60450-3352 |
| Diane R Funk | Clinical Social Worker | Institute for Personal Development | 1401 Lakewood Dr, Suite A, Morris, IL 60450-3352 |
| Joyce Azzaline | Nurse Practitioner | Institute for Personal Development | 1401 Lakewood Dr, Suite A, Morris, IL 60450-3352 |
| Lukasz Konopka | Psychologist, Clinical | Institute for Personal Development | 1401 Lakewood Dr, Suite A, Morris, IL 60450-3352 |
| Kimberley Ragan Gelbort | Psychologist, Clinical | Institute for Personal Development | 1401 Lakewood Dr, Suite A, Morris, IL 60450-3352 |
| Stacey Joy Feuer | Psychologist, Clinical | Institute for Personal Development | 1401 Lakewood Dr, Suite A, Morris, IL 60450-3352 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria Pilar N Estilo | Interventional Pain Management | 1802 N Division St, Suite 505, Morris, IL 60450-1183 | |
| Mark A Kijek | Obstetrics/gynecology | 1802 N Division St, Suite 303, Morris, IL 60450-1184 | |
| Timothy Ortiz | Optometry | Ortiz Eye Associates, P. C. | 880 Bedford Rd, Morris, IL 60450-1209 |
| Angelo Marino | Optometry | Ortiz Eye Associates, P. C. | 880 Bedford Rd, Morris, IL 60450-1209 |
| Jody R Delind | Obstetrics/gynecology | Morris Hospital | 237 W Waverly St, Morris, IL 60450-1334 |
| Victoria Ochoa | Obstetrics/gynecology | Morris Hospital | 237 W Waverly St, Morris, IL 60450-1334 |
| Erik K Muraskas | Obstetrics/gynecology | Morris Hospital | 237 W Waverly St, Morris, IL 60450-1334 |
| Douglas N Toussaint | Obstetrics/gynecology | Morris Hospital | 237 W Waverly St, Morris, IL 60450-1334 |
| Neena Will | Otolaryngology | Tripti Burt Plastic Surgery Sc | 1345 N Edwards St, Suite 1, Morris, IL 60450-1401 |
| Tripti Burt | Plastic and Reconstructive Surgery | Tripti Burt Plastic Surgery Sc | 1345 N Edwards St, Suite 1, Morris, IL 60450-1401 |
| Find all physicians in zip 60450 | |||
| City | MORRIS |
| Zip Code | 60450 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MORRIS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Wimol A Mitrakul.
| 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.