Healthcare Provider Details

I. General information

NPI: 1699695817
Provider Name (Legal Business Name): LAURA MURPHY APRN, CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 E CHICAGO AVE STE 1050
CHICAGO IL
60611-2661
US

IV. Provider business mailing address

211 E CHICAGO AVE STE 1050
CHICAGO IL
60611-2661
US

V. Phone/Fax

Practice location:
  • Phone: 312-695-8630
  • Fax: 312-694-1839
Mailing address:
  • Phone: 312-695-8630
  • Fax: 312-694-1839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209031090
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number209.031090
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: