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General NPI Number Information
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NPI Number | 1922021674
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Entity Type | Individual
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Provider Name | MITCHELL DREXLER DPM MPH
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Gender | Male
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 4817 W 83RD ST
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City | BURBANK
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State | IL
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Zip | 60459-2790
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Country | US
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Telephone | 708-425-3135
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Fax | 708-425-6884
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Provider Business Mailing Address
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Address Line | 3553 BUENA RD
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City | HIGHLAND PARK
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State | IL
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Zip | 60035-1003
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Country | US
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Telephone | 847-858-7035
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Fax | 708-423-2991
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 016002638
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License Number State | IL
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