MEDICARE: BRENDA MURRAY

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	133V00000X	Registered Dietitian	164005340	IL

General Provider Information

NPI Number	:	1811390529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDA MURRAY

Provider Business Mailing Address
First Line	:	356 SCOTT ST
Second Line	:
City	:	LAKE FOREST
State	:	IL
Zip	:	60045
Country	:	US
Telephone Number	:	908-285-0251
Fax Number	:

Provider Business Practice Location Address
First Line	:	356 SCOTT ST
Second Line	:
City	:	LAKE FOREST
State	:	IL
Zip	:	60045-1462
Country	:	US
Telephone Number	:	908-285-0251
Fax Number	:

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

Provider Enumeration Date	:	10/08/2014
Last Update Date	:	10/08/2014

Similar Medicare Providers

1215486071 — DIVINE HERITAGE, LLC
Practice Location Address:

11911 PINE FOREST DR
NEW PORT RICHEY, FL
34654-1462

Practice Phone: 813-317-7991
Practice Fax:

1912532441 — 11911 PINE FOREST DRIVE, NEW PORT RITCHEY 34654
Practice Location Address:

11911 PINE FOREST DR
NEW PORT RICHEY, FL
34654-1462

Practice Phone: 813-526-4155
Practice Fax:

1205446317 — DR. RACHEL TAYLOR BAXTER PT, DPT
Practice Location Address:

2973 FOREST CHASE TER NE
MARIETTA, GA
30066-1462

Practice Phone: 478-258-6209
Practice Fax:

1780452326 — KELLY LYNCH PMHNP
Practice Location Address:

430 FOREST HILLS DR
RANCHO MIRAGE, CA
92270-1462

Practice Phone: 760-861-7688
Practice Fax:

1689662173 — DR. SCOTT MCDOWELL O.D.
Practice Location Address:

2472 S LONG LAKE RD
FENTON, MI
48430-1462

Practice Phone: 810-714-2020
Practice Fax:

1124208343 — GATEWAY AESTHEETIC INSTITUTE& LASER CENTER
Practice Location Address:

440 W 200 S STE 250
SALT LAKE CITY, UT
84101-1462

Practice Phone: 801-595-1600
Practice Fax: 801-364-0423

Directions to “ BRENDA MURRAY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.