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NPI Code Detail

MEDICARE: JESSICA IRENE MURPHY

MEDICARE: JESSICA IRENE MURPHY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorIL

General Provider Information

NPI Number : 1275229502
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA IRENE MURPHY
Provider Business Mailing Address
First Line : 2679 MARTIN CT
Second Line :
City : NEW LENOX
State : IL
Zip : 60451-3093
Country : US
Telephone Number : 630-215-8643
Fax Number :
Provider Business Practice Location Address
First Line : 53 W JACKSON BLVD STE 520
Second Line :
City : CHICAGO
State : IL
Zip : 60604-3433
Country : US
Telephone Number : 224-202-6260
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2023
Last Update Date : 04/11/2023

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Directions to “ JESSICA IRENE MURPHY ” Practice Location

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