Individual provider Active NPI

Rita Michael Murad

  • Specialist
  • Skokie, IL
National Provider Identifier
1174107692
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
169.016312 Issued in IL
Practice address
9042 Tripp Ave
Skokie, IL 60076-1608
Phone
(847) 644-6425
NPI assigned
May 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 169.016312 IL Primary

Addresses

Primary practice location

9042 Tripp Ave
Skokie, IL 60076-1608

Mailing address

9042 Tripp Ave
Skokie, IL 60076-1608
Phone (847) 644-6425

Other names 1

  • Mrs. Rita Michael Murad Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
169.016312ILMDSpecialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1174107692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9042 TRIPP AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761608",
            "telephone_number": "847-644-6425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9042 TRIPP AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761608",
            "telephone_number": "847-644-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURAD",
        "first_name": "RITA",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "169.016312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RITA",
            "last_name": "MURAD",
            "middle_name": "MICHAEL",
            "prefix": "MRS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.