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Individual

BRIAN T MURPHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
1701 N LARKIN AVE, CREST HILL, IL 60403-1970
(815) 893-8300
(815) 729-9105
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070018242
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P01023634
MEDICARE RR
IL
Enumeration date
01/24/2011
Last updated
12/10/2021
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