MEDICARE: NORA MARY MURPHY LCPC

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	101YP2500X	Professional Counselor	180.011974	IL

General Provider Information

NPI Number	:	1518524149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NORA MARY MURPHY LCPC

Provider Business Mailing Address
First Line	:	1329 W LOYOLA AVE APT 3C
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60626-6159
Country	:	US
Telephone Number	:	773-507-6534
Fax Number	:

Provider Business Practice Location Address
First Line	:	5239 N CLARK ST FL 2
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-2122
Country	:	US
Telephone Number	:	773-507-6534
Fax Number	:

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

Provider Enumeration Date	:	05/20/2019
Last Update Date	:	05/20/2019

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Directions to “ NORA MARY MURPHY LCPC” Practice Location

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