Provider Demographics
NPI:1194706747
Name:MURPHY, EILEEN ANN (MD)
Entity type:Individual
Prefix:DR
First Name:EILEEN
Middle Name:ANN
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:841 W JUNIOR TER
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-1607
Mailing Address - Country:US
Mailing Address - Phone:312-282-1559
Mailing Address - Fax:773-528-2349
Practice Address - Street 1:841 W JUNIOR TER
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-1607
Practice Address - Country:US
Practice Address - Phone:312-282-1559
Practice Address - Fax:773-528-2349
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-066974207V00000X
IN01073391A207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL209792Medicare ID - Type Unspecified