Individual
KEVIN G MURPHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5304 N BROADWAY ST, CHICAGO, IL 60640-2312
(773) 784-2822
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036070590
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036070590
—
IL
Enumeration date
05/27/2005
Last updated
04/29/2022
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