Provider Demographics
NPI:1417684382
Name:MURPHY, NORA ELIZABETH (PA-C)
Entity type:Individual
Prefix:
First Name:NORA
Middle Name:ELIZABETH
Last Name:MURPHY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7601 S CICERO AVE STE P9A
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60652-1021
Mailing Address - Country:US
Mailing Address - Phone:708-907-4355
Mailing Address - Fax:773-498-1756
Practice Address - Street 1:7601 S CICERO AVE STE P9A
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60652-1021
Practice Address - Country:US
Practice Address - Phone:708-907-4355
Practice Address - Fax:773-498-1756
Is Sole Proprietor?:No
Enumeration Date:2022-08-02
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL085010401363A00000X
IN10003758A363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant