MEDICARE: SUSAN T MITCHELL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	4827-320	WI
2	207V00000X	Obstetrics & Gynecology Physician	01086121A	IN
3	207VG0400X	Gynecology Physician	036117849	IL
4	207V00000X	Obstetrics & Gynecology Physician	036117849	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00447359	OTHER	ID	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356468656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN T MITCHELL MD

Provider Business Mailing Address
First Line	:	PO BOX 735044
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60673-5044
Country	:	US
Telephone Number	:	800-326-2250
Fax Number	:

Provider Business Practice Location Address
First Line	:	1319 BUTTERFIELD RD STE 506
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-5601
Country	:	US
Telephone Number	:	630-320-6703
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	02/17/2026

Similar Medicare Providers

1093902983 — ASHLEY ALLOWAY COX P.A.
Practice Location Address:

1319 BUTTERFIELD RD STE 506
DOWNERS GROVE, IL
60515-5601

Practice Phone: 630-320-6703
Practice Fax:

1760644090 — KAREN E WOLOWICK DO
Practice Location Address:

1319 BUTTERFIELD RD STE 506
DOWNERS GROVE, IL
60515-5601

Practice Phone: 630-320-6703
Practice Fax: 630-389-8863

1124600804 — WOLOWICK WOMENS HEALTH
Practice Location Address:

1319 BUTTERFIELD RD # 506
DOWNERS GROVE, IL
60515-5601

Practice Phone: 630-320-6703
Practice Fax: 630-389-8863

1851520258 — NICOLE ANN COTHRAN M.D.
Practice Location Address:

701 GROVE ROAD
GREENVILLE, SC
29605-5601

Practice Phone: 864-455-7165
Practice Fax: 864-455-3685

1063944429 — TIMOTHY RYAN PARKER MD
Practice Location Address:

701 GROVE ROAD
GREENVILLE, SC
29605-5601

Practice Phone: 864-455-8988
Practice Fax:

1033708011 — MRS. MIA ABIGAIL DALAG MATEO NP
Practice Location Address:

5601 CLAUDIED WAY
ELK GROVE, CA
95757-1645

Practice Phone: 916-582-4010
Practice Fax:

Directions to “ SUSAN T MITCHELL MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.