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NPI Code Detail

MEDICARE: MS. MICHELLE E. PURCELL PA-C

MEDICARE:  MS. MICHELLE E. PURCELL  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant085004507IL
2363AS0400XSurgical Physician Assistant085004507IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1085004507OTHERILIL PA LICENSE

General Provider Information

NPI Number : 1144570284
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MICHELLE E. PURCELL PA-C
Provider Business Mailing Address
First Line : 2650 RIDGE AVE STE 1223
Second Line :
City : EVANSTON
State : IL
Zip : 60201-1700
Country : US
Telephone Number : 847-570-2040
Fax Number : 847-733-5315
Provider Business Practice Location Address
First Line : 120 SPALDING DR STE 207
Second Line :
City : NAPERVILLE
State : IL
Zip : 60540-6520
Country : US
Telephone Number : 630-646-6020
Fax Number : 630-646-6064
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2012
Last Update Date : 03/23/2026

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Directions to “ MS. MICHELLE E. PURCELL PA-C” Practice Location

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