Provider Demographics
NPI:1427844745
Name:MURPHY, JOHN (LMT)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:MURPHY
Suffix:
Gender:
Credentials:LMT
Other - Prefix:
Other - First Name:JONATHAN
Other - Middle Name:
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMT
Mailing Address - Street 1:6430 N FRANCISCO AVE UNIT 2B
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60645-5219
Mailing Address - Country:US
Mailing Address - Phone:402-515-8980
Mailing Address - Fax:
Practice Address - Street 1:1604 W AUGUSTA BLVD
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-8146
Practice Address - Country:US
Practice Address - Phone:312-463-4200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL227.024019225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist