Mitchell, Winston A

Mitchell, Winston A is an individual health care provider with primary practice located at 2320 E 93Rd St , Chicago IL 60617-3909. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Mitchell, Winston A can be contacted via phone (773) 967-2000.

Contact Information

Primary practice address
2320 E 93Rd St Chicago IL 60617-3909
Phone: (773) 967-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01077886A Indiana
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 036103962 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036103962 Illinois
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036103962 Illinois

Profile Details

NPI number 1104815323
LBN Legal business name Mitchell, Winston A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated May 11th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104815323 NPPES
Illinois MEDICAID 036103962

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