Provider Demographics
NPI:1083699573
Name:MURCHISON, ALLISON EILEEN (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:EILEEN
Last Name:MURCHISON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1001 OGDEN AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-2865
Mailing Address - Country:US
Mailing Address - Phone:630-963-3937
Mailing Address - Fax:630-963-6802
Practice Address - Street 1:15900 W 127TH ST
Practice Address - Street 2:SUITE 210
Practice Address - City:LEMONT
Practice Address - State:IL
Practice Address - Zip Code:60439-7461
Practice Address - Country:US
Practice Address - Phone:630-257-1117
Practice Address - Fax:630-257-1117
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-07
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL36090860207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1632645OtherBLUE CROSS IDENTIFIER
IL36090860Medicaid
IL202469Medicare ID - Type Unspecified
ILG14094Medicare UPIN