DR. MICHELLE RENEE MURRAY-CLARK (NPI# 1295780153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295780153 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE RENEE MURRAY-CLARK |
| Credential | D.P.M. |
| Practice Address |
40 Skokie Blvd Ste 520 Northbrook IL 60062-1601 |
| Mailing Address |
Po Box 917 Northbrook IL 60065-0917 |
| Practice Telephone | 8475045000 |
| Practice Fax Number | 8475045015 |
| Mailing Telephone | 8475045000 |
| Mailing Fax Number | 8475045015 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2019-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 2011018233 | MO | Podiatric Medicine & Surgery Service Providers |
| N | 213E00000X | Podiatrist | 1957 | TX | Podiatric Medicine & Surgery Service Providers |
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
016-005209 | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 320181603 | 05 | |
| DMERC # WITH PPG | 0732240001 | 01 | |
| TX | 320181601 | 05 | |
| MO | 1295780153 | 05 | |
| TX | 320181602 | 05 | |
| IL | 016005209 | 05 |
| Street Address |
40 SKOKIE BLVD STE 520 |
| City | NORTHBROOK |
| State | IL |
| Zip Code | 60062-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114921483 | Joseph S. Borreggine | Podiatrist | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2005-06-02 |
| 1588206262 | Preferred Podiatry Group of Kansas LLC | Durable Medical Equipment & Medical Supplies | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2019-10-14 |
| 1174060917 | Preferred Podiatry Group PC | Podiatrist | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2017-01-31 |
| 1134576143 | Preferred Podiatry Group PC | Podiatrist | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2016-05-19 |
| 1871940882 | Preferred Podiatry Group PC | Podiatrist | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2016-05-19 |
| 1093175978 | Preferred Podiatry Group PC | Podiatrist | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2016-03-04 |
| 1043689896 | Preferred Podiatry Group PC | Podiatrist | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2015-09-23 |
| 1699165647 | Preferred Podiatry Group PC | Podiatrist | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2015-01-29 |
| 1922421213 | Preferred Podiatry Group PC | Podiatrist | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2014-01-23 |
| 1316360613 | Preferred Podiatry Group PC | Podiatrist | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2014-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487067 | Cvs Aoc Services, L.L.C. | Optometrist | 936 Willow Road, Store 0141, Northbrook, IL 60062 | 2020-05-06 |
| 1386103885 | Jennifer Venegas | Behavior Technician | 5 Revere Dr Suit 120, Northbrook, IL 60062 | 2019-03-14 |
| 1720558281 | Taylor Hundley | Behavior Technician | 5 Revere Dr. Suite 120, Northbrook, IL 60062 | 2018-11-27 |
| 1609344027 | Melissa Cepeda | Behavior Technician | 5 Revere Dr Suite 120, Northbrook, IL 60062 | 2018-11-03 |
| 1235606658 | Candace Cheyenne Kaiser | Behavior Technician | 5 Revere Dr, Suite 120, Northbrook, IL 60062 | 2018-10-24 |
| 1275058745 | The Renfrew Center of Illinois | Counselor | 5 Revere Dr, Suite 100, Northbrook, IL 60062 | 2017-08-07 |
| 1467984773 | Ayzenshteyn Chiropractic | Chiropractor | 3210 Doolittle Dr., Northbrook, IL 60062 | 2017-03-28 |
| 1396282695 | Josephine Driscoll | Physician Assistant | 400 Skokie Blvd., Suite 450, Northbrook, IL 60062 | 2017-01-24 |
| 1396297842 | Lauren Raphael Lcsw LLC | Social Worker | 3050 Pheasant Creek Drive, Apt. 104, Northbrook, IL 60062 | 2016-11-01 |
| 1851847073 | Jassim Vailoces | Physical Therapist | 634 Academy Dr, Northbrook, IL 60062 | 2016-08-28 |
| Find all providers in zip 60062 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457327173 | Kenneth S Obarski | Podiatrist | 425 Huehl Rd, Unit 13, Northbrook, IL 60062-2322 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558703298 | Audey Nasser | Podiatrist | 1475 E Belvidere Rd Ste 202, Grayslake, IL 60030-2015 | 2013-07-23 |
| 1588008692 | Podiatry Care, Inc | Podiatrist | 832 Old Checker Rd, Buffalo Grove, IL 60089-1689 | 2013-04-19 |
| 1952600058 | Magdala Danielle Lafontant | Podiatrist | 6374 N Lincoln Ave Ste 205, Chicago, IL 60659-1283 | 2011-03-15 |
| 1679760821 | Foot and Ankle Inc | Podiatrist | 14539 S Stirrup Ct, Homer Glen, IL 60491-9297 | 2007-10-02 |
| 1255548202 | Dr. Robert L. Baron | Podiatrist | 60 Main St., Suite A, Oswego, IL 60543-8594 | 2007-05-17 |
| 1780801548 | Edgewater Beach Foot and Ankle Center, P.C. | Podiatrist | 5331 N Sheridan Rd, Chicago, IL 60640-2531 | 2007-04-20 |
| 1841310760 | Jeffrey Garrard | Podiatrist | 6225 Dempster St, Morton Grove, IL 60053-2818 | 2007-04-02 |
| 1255468054 | Michael Anthony Walsh | Podiatrist | 9806 Grand Ave, Franklin Park, IL 60131-2679 | 2007-02-27 |
| 1659407781 | Martin Bruce Nead | Podiatrist | 1014 E St, Charleston, IL 61920-2524 | 2007-02-25 |
| 1821123977 | Brian J Reilly | Podiatrist | 2402 E Oakland Ave, Suite 5, Bloomington, IL 61701-5828 | 2007-02-22 |
| Find all providers with the same taxonomy | ||||
| City | NORTHBROOK |
| Zip Code | 60062 |
Please comment or provide details below to improve the information on DR. MICHELLE RENEE MURRAY-CLARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.