Murray-Clark, Michelle Renee

Murray-Clark, Michelle Renee is an individual health care provider with primary practice located at 40 Skokie Blvd Ste 520 , Northbrook IL 60062-1601. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is her primary health care specialty. Murray-Clark, Michelle Renee can be contacted via phone (847) 504-5000.

Contact Information

Primary practice address
40 Skokie Blvd Ste 520 Northbrook IL 60062-1601
Phone: (847) 504-5000
Fax: (847) 504-5015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1957 Texas
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 2011018233 Missouri
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 016-005209 Illinois

Profile Details

NPI number 1295780153
LBN Legal business name Murray-Clark, Michelle Renee
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Jan 22nd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295780153 NPPES
Texas MEDICAID 320181602
Texas MEDICAID 320181601
Texas MEDICAID 320181603
Texas MEDICAID 016005209
Texas MEDICAID 1295780153
Texas Other 0732240001

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