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NPI Code Detail

MEDICARE: THOMAS ANTHONY MURPHY

MEDICARE:   THOMAS ANTHONY MURPHY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant085.010911IL

General Provider Information

NPI Number : 1043015738
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS ANTHONY MURPHY
Provider Business Mailing Address
First Line : 10961 S KEDZIE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60655-2219
Country : US
Telephone Number : 773-239-9100
Fax Number :
Provider Business Practice Location Address
First Line : 10961 S KEDZIE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60655-2219
Country : US
Telephone Number : 773-239-9100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2025
Last Update Date : 02/17/2025

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Directions to “ THOMAS ANTHONY MURPHY ” Practice Location

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