Individual
DONALD E MURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
270 MAPLE SUMMIT RD, JERSEYVILLE, IL 62052-2004
(618) 498-7108
(618) 498-7919
Mailing address
390 MAPLE SUMMIT RD, JERSEYVILLE, IL 62052-2000
(618) 498-7518
(618) 498-3052
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036090708
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036090708
—
IL
01
—
10605721
CAQH ID
IL
Enumeration date
05/27/2005
Last updated
11/12/2024
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