Provider Demographics
NPI:1659267235
Name:URCHELL, CLAIRESE PAULINE (MAT, LAT, ATC)
Entity type:Individual
Prefix:
First Name:CLAIRESE
Middle Name:PAULINE
Last Name:URCHELL
Suffix:
Gender:F
Credentials:MAT, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5067 W 87TH PL
Mailing Address - Street 2:
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307-1623
Mailing Address - Country:US
Mailing Address - Phone:219-776-0658
Mailing Address - Fax:
Practice Address - Street 1:2200 169TH ST
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:IN
Practice Address - Zip Code:46323-2068
Practice Address - Country:US
Practice Address - Phone:219-989-3175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer