Provider Demographics
NPI:1528609328
Name:MURPHY, PATRICIA E (RDMS, RVT)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:E
Last Name:MURPHY
Suffix:
Gender:F
Credentials:RDMS, RVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4503 1/2 W DEYOUNG
Mailing Address - Street 2:SUITE 3A
Mailing Address - City:MARION
Mailing Address - State:IL
Mailing Address - Zip Code:62959
Mailing Address - Country:US
Mailing Address - Phone:618-559-1615
Mailing Address - Fax:618-515-4956
Practice Address - Street 1:4503 1/2 W DEYOUNG
Practice Address - Street 2:SUITE 3A
Practice Address - City:MARION
Practice Address - State:IL
Practice Address - Zip Code:62959
Practice Address - Country:US
Practice Address - Phone:618-559-1615
Practice Address - Fax:618-515-4956
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-02
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1247532085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty