Healthcare Provider Details

I. General information

NPI: 1356746861
Provider Name (Legal Business Name): MURPHY CHIROPRACTIC AND WELLNESS CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2014
Last Update Date: 03/31/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13550 RTE 30 LL 104
PLAINFIELD IL
60544
US

IV. Provider business mailing address

13550 RTE 30, LL 104
PLAINFIELD IL
60544
US

V. Phone/Fax

Practice location:
  • Phone: 815-230-3776
  • Fax: 815-664-3307
Mailing address:
  • Phone: 815-230-3776
  • Fax: 815-664-3307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038.011502
License Number StateIL

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. JENNIFER JOYCE MURPHY-MRAVLE
Title or Position: OWNER/ CHIROPRACTOR
Credential: DOCTOR OF CHIROPRACT
Phone: 815-230-3776