Healthcare Provider Details

I. General information

NPI: 1255697249
Provider Name (Legal Business Name): VERONICA MURPHY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2012
Last Update Date: 07/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 E IRVING PARK RD
STREAMWOOD IL
60107
US

IV. Provider business mailing address

1400 E IRVING PARK RD
STREAMWOOD IL
60107-3201
US

V. Phone/Fax

Practice location:
  • Phone: 630-837-9000
  • Fax: 630-837-9000
Mailing address:
  • Phone: 630-837-9000
  • Fax: 630-540-3927

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number036143683
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code2084P0015X
TaxonomyPsychosomatic Medicine Physician
License Number036143683
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: