Healthcare Provider Details

I. General information

NPI: 1679496111
Provider Name (Legal Business Name): LAUREN MARIE MURRAY ACNPC-AG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2026
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10260 191ST ST STE 102
MOKENA IL
60448-8802
US

IV. Provider business mailing address

1640 STEFANIE LN
BOURBONNAIS IL
60914-9646
US

V. Phone/Fax

Practice location:
  • Phone: 708-478-4224
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number209036196
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: