MEDICARE: DR. EILEEN ANN MURPHY M.D.

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
1	207V00000X	Obstetrics & Gynecology Physician	036-066974	IL
2	207V00000X	Obstetrics & Gynecology Physician	01073391A	IN

General Provider Information

NPI Number	:	1194706747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EILEEN ANN MURPHY M.D.

Provider Business Mailing Address
First Line	:	841 W JUNIOR TER
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-1607
Country	:	US
Telephone Number	:	312-282-1559
Fax Number	:	773-528-2349

Provider Business Practice Location Address
First Line	:	841 W JUNIOR TER
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-1607
Country	:	US
Telephone Number	:	312-282-1559
Fax Number	:	773-528-2349

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2005
Last Update Date	:	06/02/2021

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