Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 036052084 | IL |
NPI | 1023014552 |
---|---|
Provider Name | Dr. Patrick J Murphy |
First Address | Park Ridge, IL 60068-4713 |
Second Address | Park Ridge, IL 60068-4713 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2005 |
Last Update Date | 31/03/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036052084 | (05) | IL |
D13214 | (02) | IL |