Provider Demographics
NPI:1649294471
Name:MURPHY, BRYAN MICHAEL (DC)
Entity type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:MICHAEL
Last Name:MURPHY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25158 W. EAMES ST
Mailing Address - Street 2:UNIT G
Mailing Address - City:CHANAHON
Mailing Address - State:IL
Mailing Address - Zip Code:60410
Mailing Address - Country:US
Mailing Address - Phone:815-467-4466
Mailing Address - Fax:815-467-4464
Practice Address - Street 1:25158 W EAMES ST
Practice Address - Street 2:UNIT G
Practice Address - City:CHANNAHON
Practice Address - State:IL
Practice Address - Zip Code:60410-5404
Practice Address - Country:US
Practice Address - Phone:815-483-3223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038010739111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor