Provider Demographics
NPI:1316241136
Name:JILLEEN C. MURCHIE, P.C.
Entity type:Organization
Organization Name:JILLEEN C. MURCHIE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JILEEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:MURCHIE
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:224-612-2232
Mailing Address - Street 1:1528 S BROPHY
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-5232
Mailing Address - Country:US
Mailing Address - Phone:224-612-2232
Mailing Address - Fax:815-455-4322
Practice Address - Street 1:241 GOLF MILL CTR
Practice Address - Street 2:SUITE 726
Practice Address - City:NILES
Practice Address - State:IL
Practice Address - Zip Code:60714-1224
Practice Address - Country:US
Practice Address - Phone:847-824-7200
Practice Address - Fax:815-455-4322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-09
Last Update Date:2011-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180002266101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty