Idol Ray Mitchell
DPM | Podiatrist | 33+ years Exp
Medicare Enrolled
437 East Grant Street, Macomb
Illinois, 61455-3352
309-837-3964 309-837-3966
Maps & DirectionsIdol Ray Mitchell is a Macomb, Illinois based podiatrist with 33 years of experience in Podiatry. He completed his graduation from College Of Podiatric Med And Surgery, Des Moines University in 1992. He is also affiliated with hospitals like Mc Donough District Hospital. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Idol Ray Mitchell for Podiatry is 016-004683 in Illinois.
Idol Ray Mitchell is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Idol Ray Mitchell speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Podiatry |
| Credentials: | DPM |
| Experience: | 33+ years |
| Medical School Attended: | College Of Podiatric Med And Surgery, Des Moines University |
| Graduation Year: | 1992 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 437 East Grant Street, Macomb,
Illinois, 61455-3352 |
| Phone: | 309-837-3964 |
| Fax: | 309-837-3966 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 6507763984 |
| Enrollment ID: | I20031215000432 |
| NPI Number: | 1508850694 |
| NPI Enumeration Date: | 06 Sep, 2005 |
| NPI Last Update On: | 15 May, 2008 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Idol Ray Mitchell are as mentioned below.
| License Number | Specialization | State | Status | |
| 016-004683 | Podiatry | Illinois | Primary | |
Hospital Affiliation:
Doctors are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| Mc Donough District Hospital (140089) | Macomb, IL | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Idol Ray Mitchell is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Blessing Corporate Services Inc (5991616138) | 140 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Idol Ray Mitchell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 4452210001 | Other | | DMERC |
| 480034728 | Other | | RAILROAD MEDICARE PROV # |
| 016004683 | Medicaid | Illinois | |
| 214428 | Other | Illinois | MEDICARE ID |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 437 East Grant Street,
Macomb, Illinois |
| Zip: | 61455-3352 |
| Phone Number: | 309-837-3964 |
| Fax Number: | 309-837-3966 |
Patients can reach Idol Ray Mitchell at
437 East Grant Street, Macomb, Illinois or can
call to book an appointment on 309-837-3964.
Comments/ Reviews:
Patients can read all the reviews posted for Idol Ray Mitchell below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Idol Ray Mitchell. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.