Individual
DR. PATRICK B MURPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1770 E LAKE SHORE DR STE 105, DECATUR, IL 62521-3800
(217) 422-6100
(833) 784-5326
Mailing address
1770 E LAKE SHORE DR STE 105, DECATUR, IL 62521-3800
(217) 422-6100
(833) 784-5326
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036076395
IL
207RI0011X
Interventional Cardiology Physician
Primary
036076395
IL
207UN0901X
Nuclear Cardiology Physician
036076395
IL
208000000X
Pediatrics Physician
036076395
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009824
HEALTH ALLIANCE PROVIDER
IL
05
—
036076395
—
IL
01
—
03607639501
OSF HEALTH PLANS
—
01
—
05732036
BLUE SHIELD GROUP NUMBER
IL
01
—
1586875
UNITED HEALTHCARE
—
05
—
207188707
—
MO
01
—
287612
PERSONAL CARE
—
01
—
296074
HEALTHLINK
—
01
—
38443
PHCS
—
01
—
IL0107
JOHN DEERE HEALTH PLAN
—
Enumeration date
05/04/2006
Last updated
12/21/2021
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