Provider Demographics
NPI:1689825721
Name:MURRAY, KATHRYN B
Entity Type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:B
Last Name:MURRAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:536 1/2 MICHIGAN AVE
Mailing Address - Street 2:UNIT D1
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60202-3035
Mailing Address - Country:US
Mailing Address - Phone:773-744-4325
Mailing Address - Fax:
Practice Address - Street 1:536 1/2 MICHIGAN AVE
Practice Address - Street 2:UNIT D1
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60202-3035
Practice Address - Country:US
Practice Address - Phone:773-744-4325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist