Mark E Mitten, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038007312 Issued in IL

Practice address

2456 Sheridan Road
Zion, IL 60099

Phone

(847) 872-5707

Fax

(847) 746-5892

NPI assigned

Nov 29, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Delain Health Group

  • Family Medicine Physician
  • Zion, IL
  • NPI 1609067602
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619044096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2456 SHERIDAN ROAD",
            "city": "ZION",
            "state": "IL",
            "postal_code": "60099",
            "telephone_number": "847-872-5707",
            "fax_number": "847-746-5892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2456 SHERIDAN ROAD",
            "city": "ZION",
            "state": "IL",
            "postal_code": "60099",
            "telephone_number": "847-872-5707",
            "fax_number": "847-746-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTEN",
        "first_name": "MARK",
        "middle_name": "E",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04906739",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midwestern Regional Medical Center
• Midwestern Regional Medical Center Pharmacy
• Midwestern Regional Medical Center, Inc.
• Andrea Marie Miller, PHD, LCPC
• Crystal Miller
• Linda Mitzelfelt, M.A. CCC-SLP/L
• Tea Mohn
• Sarah A Moony, PA-C
• Musich Psychotherapy PLLC
• Navigate Physical Therapy, PLLC

• Chiropractor in Zion, IL
• Providers in Zion, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.