Individual
DR. STACIE A MCMURTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1800 HOLLISTER DR STE 210, LIBERTYVILLE, IL 60048-5266
(847) 549-7711
(847) 549-1020
Mailing address
9800 SHELBYVILLE RD, STE 220, LOUISVILLE, KY 40223-2992
(502) 429-8585
(855) 656-7325
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
036092889
IL
207KA0200X
Allergy Physician
036092889
IL
Other
Enumeration date
09/21/2006
Last updated
09/09/2022
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