Healthcare Provider Details

I. General information

NPI: 1467938852
Provider Name (Legal Business Name): KIRBY MURPHY APN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2018
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 S WAUKEGAN RD
DEERFIELD IL
60015-5204
US

IV. Provider business mailing address

9977 WOODS DR
SKOKIE IL
60077-1057
US

V. Phone/Fax

Practice location:
  • Phone: 847-945-4575
  • Fax:
Mailing address:
  • Phone: 224-364-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041401091
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number277004556
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209018010
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: