Provider Demographics
NPI:1639246820
Name:MURNEY, MARY EILEEN (PT, MS, PCS)
Entity Type:Individual
Prefix:MS
First Name:MARY EILEEN
Middle Name:
Last Name:MURNEY
Suffix:
Gender:F
Credentials:PT, MS, PCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17066 AUSTIN LN
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467-8779
Mailing Address - Country:US
Mailing Address - Phone:708-364-0854
Mailing Address - Fax:
Practice Address - Street 1:17066 AUSTIN LN
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-8779
Practice Address - Country:US
Practice Address - Phone:708-364-0854
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0001634423OtherBCBS PROVIDER NUMBER