Healthcare Provider Details

I. General information

NPI: 1841103546
Provider Name (Legal Business Name): KEVIN JOHN MURPHY RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

739 ROOSEVELT RD
GLEN ELLYN IL
60137-5837
US

IV. Provider business mailing address

5450 W 108TH PL
OAK LAWN IL
60453-5031
US

V. Phone/Fax

Practice location:
  • Phone: 630-790-3385
  • Fax:
Mailing address:
  • Phone: 708-308-9073
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051040778
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: