Provider Demographics
NPI:1548230055
Name:TURVILL, MARLENE MORRISON (MD)
Entity Type:Individual
Prefix:DR
First Name:MARLENE
Middle Name:MORRISON
Last Name:TURVILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2535 PRINCETON AVE
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-4940
Mailing Address - Country:US
Mailing Address - Phone:847-644-8540
Mailing Address - Fax:847-886-0112
Practice Address - Street 1:2535 PRINCETON AVE
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-4940
Practice Address - Country:US
Practice Address - Phone:847-644-8540
Practice Address - Fax:847-886-0112
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2020-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-097004208000000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036-097004OtherSTATE LICENSE
U71013Medicare ID - Type Unspecified