Charles D Mullenix, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036050116 Issued in IL

Practice address

581 E Golf Rd
Des Plaines, IL 60016-2349

Phone

(847) 297-2240

Fax

(847) 297-7270

NPI assigned

Jun 28, 2005

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

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• North Shore Eye Consultants LTD

  • Ophthalmology Physician
  • Glenview, IL
  • NPI 1598019440
  Medicare reassignment NPD
• American Home Visiting Physicians

  • General Practice Physician
  • Des Plaines, IL
  • NPI 1144525510
  NPD (past)

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1942206578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 RAVINE WAY",
            "address_2": "STE 500",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600257647",
            "telephone_number": "847-297-2240",
            "fax_number": "847-297-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 E GOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162349",
            "telephone_number": "847-297-2240",
            "fax_number": "847-297-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLENIX",
        "first_name": "CHARLES",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036050116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall David Moy, DDS
• Manju Bobby Moyanmakl, D.P.T
• Mrad Imaging LLC
• Ms Healthcare Services Inc
• Kathleen A Muglia, CPNP, ND
• Therese Murphy-Swanson, DDS
• Victoria Muzykansky, DDS
• My Care Pharmacy Inc
• My Geriatric Dentist
• My Smile Inc

• Ophthalmology Physician in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.