Healthcare Provider Details

I. General information

NPI: 1740520055
Provider Name (Legal Business Name): MR. JEFFERY BRIAN MURRAY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2013
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 W 63RD ST
WESTMONT IL
60559-2614
US

IV. Provider business mailing address

1041 W STEARNS RD
BARTLETT IL
60103-4509
US

V. Phone/Fax

Practice location:
  • Phone: 630-964-4654
  • Fax:
Mailing address:
  • Phone: 630-372-9015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number051287047
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: