Individual
DR. MITCHELL DREXLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM MPH
Contact information
Practice address
4817 W 83RD ST, BURBANK, IL 60459-2790
(708) 425-3135
(708) 425-6884
Mailing address
3553 BUENA RD, HIGHLAND PARK, IL 60035-1003
(847) 858-7035
(708) 423-2991
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016002638
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016002638
LICENSE
IL
05
—
016002638
—
IL
01
—
203587
MEDICARE
IL
01
—
316000425
SUBSTANCE CONTROLLED
IL
01
—
60020753
BCBS
IL
Enumeration date
07/25/2006
Last updated
03/07/2023
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