Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Cornelius Avery Mitchell, MD

Individual provider Family Medicine Physician · NPI 1225065345

Dr. Cornelius Avery Mitchell, MD is a Family Practice in Harvey, Illinois. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2001, 25 years ago. Practices with Healogics Specialty Physicians of Illinois, LLC, a 15-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
25
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

31 W 155th St
Harvey, IL 60426-3556
Phone: (708) 596-5177
Fax: (708) 339-3583
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036.115063 (IL)
Legal Medicine Taxonomy 173000000X · Licence 036115063 (IL)

Record details

NPI number1225065345
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2006
Last updated in NPPESAugust 16, 2018
Mailing address9119 S Exchange Ave, Chicago, IL 60617-4225

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2001 (25 years in practice)
Group practice Healogics Specialty Physicians Of Illinois, Llc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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