Individual
DR. CHARLENE D MURDAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
612 ROXBURY RD, ROCKFORD, IL 61107-5089
(815) 227-8300
(815) 227-8301
Mailing address
PO BOX 957, ROCKFORD, IL 61105-0957
(815) 227-8300
(815) 227-8301
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036127989
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036127989
—
IL
01
—
P01248998
RAILROAD MEDICARE
—
Enumeration date
08/03/2008
Last updated
04/29/2014
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