Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204E00000X | Oral & Maxillofacial Surgeon | 036141728 | IL |
NPI | 1508144585 |
---|---|
Provider Name | James Anthony Murphy |
First Address | Chicago, IL 60612-3765 |
Second Address | Chicago, IL 60612-3765 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2011 |
Last Update Date | 08/12/2021 |