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General NPI Number Information
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NPI Number | 1942203617
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Entity Type | Individual
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Provider Name | MURRAY D MCGRADY MD
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Gender | Male
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 19 WOLF CREEK DR DEPT OTOLARYNGOLOGY
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City | SWANSEA
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State | IL
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Zip | 62226-2355
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Country | US
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Telephone | 618-235-3687
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Fax | 618-239-9492
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Provider Business Mailing Address
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Address Line | PO BOX 7412011
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City | CHICAGO
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State | IL
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Zip | 60674-2011
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Country | US
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Telephone | 618-235-3687
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Fax | 618-239-9492
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 036076334
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License Number State | IL
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