Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 125.069872 | IL |
NPI | 1023548443 |
---|---|
Provider Name | Hamadi Oliver Akil Murphy |
First Address | Springfield, IL 62794-9638 |
Second Address | Springfield, IL 62702-3757 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2017 |
Last Update Date | 18/06/2017 |