Provider Demographics
NPI:1629664743
Name:MURRY, AMBER IMAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:IMAN
Last Name:MURRY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 S FINANCIAL PL APT 1702
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60605-1794
Mailing Address - Country:US
Mailing Address - Phone:847-769-3237
Mailing Address - Fax:
Practice Address - Street 1:8000 BROADVIEW VILLAGE SQ
Practice Address - Street 2:
Practice Address - City:BROADVIEW
Practice Address - State:IL
Practice Address - Zip Code:60155-2601
Practice Address - Country:US
Practice Address - Phone:708-410-2957
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-13
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051300961183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist