MEDICARE: DR. MICHELLE RENEE MURRAY-CLARK D.P.M.

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
1	213E00000X	Podiatrist	2011018233	MO
2	213EP1101X	Primary Podiatric Medicine Podiatrist	016-005209	IL
3	213E00000X	Podiatrist	1957	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	0732240001	OTHER	DMERC # WITH PPG

General Provider Information

NPI Number	:	1295780153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHELLE RENEE MURRAY-CLARK D.P.M.

Provider Business Mailing Address
First Line	:	225 W WASHINGTON ST STE 1500
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60606-3485
Country	:	US
Telephone Number	:	800-841-5200
Fax Number	:	847-504-5015

Provider Business Practice Location Address
First Line	:	225 W WASHINGTON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60606-2418
Country	:	US
Telephone Number	:	800-841-5200
Fax Number	:	847-504-5015

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	10/09/2025

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Directions to “ DR. MICHELLE RENEE MURRAY-CLARK D.P.M.” Practice Location

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