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

Individual provider Emergency Medicine Physician · NPI 1114455680

Dr. Mitchell Kentor, MD is an Emergency Medicine in Oak Lawn, Illinois. Graduated from Wayne State University School of Medicine in 2017, 9 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Trained at
Wayne State University School of Medicine
Licensed in
IL
In the registry since
2017
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

4440 W 95th St
Oak Lawn, IL 60453-2600
Phone: (708) 684-5375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 125070692 (IL)

Record details

NPI number1114455680
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 30, 2017
Last updated in NPPESJuly 21, 2022
Certification dateJanuary 1, 2022
Mailing address4440 W 95th St, Oak Lawn, IL 60453-2600

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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