Individual
DR. BRIAN MURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.C.
Contact information
Practice address
5318 W DEVON AVE, CHICAGO, IL 60646-4108
(773) 303-7711
Mailing address
5318 W DEVON AVE, CHICAGO, IL 60646-4108
(773) 303-7711
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
036-126661
IL
208D00000X
General Practice Physician
036-126661
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IL7858
PTAN
IL
Enumeration date
01/28/2009
Last updated
09/30/2024
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