Healthcare Provider Details

I. General information

NPI: 1083699573
Provider Name (Legal Business Name): ALLISON EILEEN MURCHISON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/07/2005
Last Update Date: 12/06/2021
Certification Date: 12/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15900 W 127TH ST SUITE 210
LEMONT IL
60439-7461
US

IV. Provider business mailing address

1001 OGDEN AVE
DOWNERS GROVE IL
60515-2865
US

V. Phone/Fax

Practice location:
  • Phone: 630-257-1117
  • Fax: 630-257-1117
Mailing address:
  • Phone: 630-963-3937
  • Fax: 630-963-6802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number36090860
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: