Healthcare Provider Details

I. General information

NPI: 1174469050
Provider Name (Legal Business Name): STEPHEN F MURRAY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7330 W COLLEGE DR STE 207
PALOS HEIGHTS IL
60463-1184
US

IV. Provider business mailing address

1117 AUSTIN AVE
PARK RIDGE IL
60068-2646
US

V. Phone/Fax

Practice location:
  • Phone: 708-215-4122
  • Fax:
Mailing address:
  • Phone: 847-331-7061
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number178005082
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: