=====================================================
General NPI Number Information
=====================================================
NPI Number | 1699695817
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LAURA MURPHY APRN, CNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/17/2026
-----------------------------------------------------
Last Update Date | 10/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 211 E CHICAGO AVE STE 1050
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60611-2661
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 312-695-8630
-----------------------------------------------------
Fax | 312-694-1839
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 211 E CHICAGO AVE STE 1050
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60611-2661
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 312-695-8630
-----------------------------------------------------
Fax | 312-694-1839
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number | 209031090
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | 209.031090
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------