Individual
SUSAN T MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1319 BUTTERFIELD RD STE 506, DOWNERS GROVE, IL 60515-5601
(630) 320-6703
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01086121A
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
036117849
IL
207V00000X
Obstetrics & Gynecology Physician
4827-320
WI
207VG0400X
Gynecology Physician
036117849
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036117849
—
IL
05
—
1356468656
—
WI
01
—
P00447359
RAILROAD MEDICARE
ID
Enumeration date
03/23/2007
Last updated
02/17/2026
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