Individual
GINA M MURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
885 ROOSEVELT RD STE 100, GLEN ELLYN, IL 60137-6141
(630) 384-6200
(630) 384-6229
Mailing address
3824 N FREMONT ST, #1 SOUTH, CHICAGO, IL 60613-3049
(630) 290-2375
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036109477
IL
207P00000X
Emergency Medicine Physician
48973-021
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43528700
—
WI
01
—
P00306274
MEDICARE RAILROAD
WI
Enumeration date
06/27/2006
Last updated
11/13/2023
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