Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 070013323 | IL |
NPI | 1003035593 |
---|---|
Provider Name | Cara E Murphy |
First Address | Chicago, IL 60606-1216 |
Second Address | Highland Park, IL 60035-5637 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2007 |
Last Update Date | 02/12/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1619980 | BCBS OF IL (01) | IL |
567700 | MEDICARE GROUP NUMBER (01) | IL |
568080 | MEDICARE GROUP NUMBER (01) | IL |
568150 | MEDICARE GROUP NUMBER (01) | IL |
K23182 | (02) | IL |