MS. MICHELLE PURCELL (NPI# 1144570284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144570284 |
Entity Type | Individual |
Full Name | MS. MICHELLE PURCELL |
Other Name | MICHELLE PEISS |
Credential | PHYSICIAN ASSISTANT |
Practice Address |
120 Spalding Dr Ste 207 Naperville IL 60540 |
Mailing Address |
120 Spalding Dr Ste 207 Naperville IL 60540-6520 |
Practice Telephone | 6306466020 |
Practice Fax Number | 6306466064 |
Mailing Telephone | 6306466020 |
Mailing Fax Number | 6306466064 |
Enumeration Date | 2012-09-17 |
Last Update Date | 2019-11-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
085004507 | IL | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
085004507 | IL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | IL PA LICENSE | 085004507 | 01 |
IL | DEA | MP2750304 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
4700 Gilbert Ave Ste 51, Western Springs, IL 605581664 | 7083871737 | 6309202382 |
1200 S York St Ste 3280, Elmhurst, IL 601265638 | 6306466020 | 6306466064 |
120 Spalding Dr Ste 207, Naperville, IL 60540 | 6306466020 | 6306466064 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437597143 | Michelle Purcell | Occupational Therapist | 7339 Crooked Arrow Ln, Fort Collins, CO 80525-8900 | 2013-06-05 |
Street Address |
120 SPALDING DR STE 207 |
City | NAPERVILLE |
State | IL |
Zip Code | 60540 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457864506 | Jessica Berg | Physician Assistant | 120 Spalding Dr Ste 207, Naperville, IL 60540-6520 | 2017-11-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760007678 | Mandalai Oral and Maxillofacial Surgery PC | Oral & Maxillofacial Surgery | 720 S. Brom Drive Suite 103, Naperville, IL 60540 | 2020-06-16 |
1316418957 | James Edward Frank | Counselor | 600 South Washington Street, Suite 302, Naperville, IL 60540 | 2018-12-07 |
1093208332 | Ingrid Johnson | Developmental Therapist | Right Start Pediatric Therapies, 50 S Main St Suite 200, Naperville, IL 60540 | 2018-06-12 |
1225528524 | Tara Rada Nieberding | Contractor | 1701 Quincy Ave Ste 12, Naperville, IL 60540 | 2018-05-14 |
1588182190 | Debra Xiangjun Hayes | Acupuncturist | 226 N Washington St # 2, Naperville, IL 60540 | 2017-09-03 |
1487197166 | Health Improvement and Preventive Services LLC | Family Medicine | 1979 Mcdowell Rd., Suite 103, Naperville, IL 60540 | 2016-11-29 |
1588013775 | Matthew Jacob Imber | Chiropractor | 1220 Hobson Rd Ste 220, Naperville, IL 60540 | 2016-06-08 |
1457711418 | Elite Pain Medical Group Inc | Physical Medicine & Rehabilitation | 720 South Brom Drive, Suite 201, Naperville, IL 60540 | 2016-03-03 |
1265814800 | Jenifer Lynn Mersman | Chiropractor | 475 River Bend Rd. Suite 104, Naperville, IL 60540 | 2015-06-19 |
1386038016 | Jonathon Martin Ruiz | Specialist/Technologist | 440 N Brainard Street, Naperville, IL 60540 | 2015-03-19 |
Find all providers in zip 60540 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467780189 | Olga Mccain | Physician Assistant | 4s100 N Route 59, Unit 6, Naperville, IL 60563-9641 | 2009-11-19 |
1851544936 | Karla J Holtzman | Physician Assistant | 2272 95th St Ste 325, Naperville, IL 60564-8944 | 2008-11-03 |
1386768992 | Kelly A Owens | Physician Assistant | 1247 Rickert Drive, #200, Naperville, IL 60540 | 2007-03-19 |
1609848282 | Kevin Brian Riggs | Physician Assistant | 535 Fairway Dr, Suite 107, Naperville, IL 60563-3938 | 2006-02-07 |
1942841499 | Nicole Anne Bowers | Physician Assistant | 1952 Mcdowell Road, Suite 305, Naperville, IL 60563 | 2019-10-07 |
1477919918 | Andrea Lynne Smolinski | Physician Assistant | 1247 Rickert Dr Ste 201, Naperville, IL 60540 | 2016-01-13 |
1003211160 | Jennifer Lynn Bren | Physician Assistant | 2940 Rollingridge Rd, Suite 201, Naperville, IL 60564-4231 | 2014-10-30 |
1881929313 | Carolyn O'connor | Physician Assistant | 100 Spalding Dr, Suite 110, Naperville, IL 60540-6550 | 2009-10-16 |
1962556365 | Ryan Mcshane Enger | Physician Assistant | 120 Spalding Dr Ste 400, Naperville, IL 60540-6559 | 2007-01-22 |
1053341743 | Erin Kopeny | Physician Assistant | 1020 E Ogden Ave, Ste 115, Naperville, IL 60563-8609 | 2006-07-05 |
Find all providers in NAPERVILLE |
City | NAPERVILLE |
Zip Code | 60540 |
Please comment or provide details below to improve the information on MS. MICHELLE PURCELL.
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.