Charlotte Mitchell,.M.D. S.C.
LBN: Northwest Medical Associates, Sc
Charlotte Mitchell,.M.D. S.C. is an health care organization with primary practice located at 30 E 15Th St Suite 310, Chicago Heights IL 60411-3459. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty.
Northwest Medical Associates, Sc can be contacted via phone (708) 754-3225, or through Mitchell, Charlotte via phone (708) 754-3225.
Contact Information
Primary practice address
30 E 15Th St Suite 310
Chicago Heights IL 60411-3459
Phone: (708) 754-3225
Fax:
Website:
Authorized official contact:
Name: Mitchell, Charlotte Doctor of Medicine (MD)
Phone: (708) 754-3225
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | 036079491 | Illinois |
Profile Details
| NPI number | 1700066453 |
|---|---|
| LBN Legal business name | Northwest Medical Associates, Sc |
| DBA Doing business as | Charlotte Mitchell,.M.D. S.C. |
| Authorized official | Mitchell, Charlotte Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 10th, 2007 |
| Last updated | Feb 22nd, 2014 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700066453 | NPPES |
| Illinois | Other | 31603733 | BLUE CROSS |
| Illinois | MEDICAID | 036079491 | BLUE CROSS |
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