Healthcare Provider Details

I. General information

NPI: 1346493871
Provider Name (Legal Business Name): TINA M MURPHY DNP, APRN, CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2008
Last Update Date: 09/29/2026
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15300 WEST AVE STE 120
ORLAND PARK IL
60462-4508
US

IV. Provider business mailing address

15300 WEST AVE STE 120
ORLAND PARK IL
60462-4508
US

V. Phone/Fax

Practice location:
  • Phone: 708-590-5304
  • Fax: 708-590-5308
Mailing address:
  • Phone: 708-590-5304
  • Fax: 708-590-5308

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number277000431
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number277000431
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: