Provider Demographics
NPI:1356447346
Name:ROBINSON-MURPHY, DAWN MICHELLE (DC)
Entity Type:Individual
Prefix:DR
First Name:DAWN
Middle Name:MICHELLE
Last Name:ROBINSON-MURPHY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:DAWN
Other - Middle Name:MICHELLE
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:115 LINCOLN PLACE COURT
Mailing Address - Street 2:STE 103
Mailing Address - City:BELLEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62221
Mailing Address - Country:US
Mailing Address - Phone:618-277-3575
Mailing Address - Fax:618-277-6679
Practice Address - Street 1:115 LINCOLN PLACE CT
Practice Address - Street 2:STE 103
Practice Address - City:BELLEVILLE
Practice Address - State:ID
Practice Address - Zip Code:62221-5876
Practice Address - Country:US
Practice Address - Phone:618-277-3575
Practice Address - Fax:618-277-6679
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038008946111N00000X
IL038-008946111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL08227028OtherBC BS
IL426689OtherHEALTH INC
ILPTAN208631Medicare PIN
ILU85492Medicare UPIN
IL426689OtherHEALTH INC
IL208631Medicare ID - Type Unspecified
U85492Medicare UPIN