OrganizationActive
Idol R Mitchell DPM PC
NPI 1003987173 · Podiatrist · Macomb, IL
Provider details
- NPI number
- 1003987173
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Idol Mitchell, President(309) 836-7900
- License
- 016004683 (IL)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
437 East Grant Street
Macomb, IL 61455-3352
Phone: (309) 837-3964
Fax: (309) 837-3966
Street-level locationGet directions
Mailing address
437 East Grant Street
Macomb, IL 61455-3352
Registry dates
- Enumerated
- 2006-11-12
- Last updated
- 2008-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.