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Individual

JEANELLE Y MURPHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O

Contact information

Practice address
200 RICHMOND AVE E STE 2, MATTOON, IL 61938-4652
(217) 234-7000
(217) 238-2584
Mailing address
PO BOX 372, MATTOON, IL 61938-0372

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036123277
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036123277
STATE LIC
IL
01
20A10134
STATE LIC
CA
Enumeration date
03/07/2008
Last updated
12/17/2025
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