Provider Demographics
NPI:1801825450
Name:MURPHY, YVONNE T (MD)
Entity type:Individual
Prefix:
First Name:YVONNE
Middle Name:T
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9039 PAYSPHERE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60674
Mailing Address - Country:US
Mailing Address - Phone:708-783-2463
Mailing Address - Fax:
Practice Address - Street 1:3231 S. EUCLID AVE
Practice Address - Street 2:FLOOR 5
Practice Address - City:BERWYN
Practice Address - State:IL
Practice Address - Zip Code:60402-4603
Practice Address - Country:US
Practice Address - Phone:708-783-2000
Practice Address - Fax:708-783-3656
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036105067207Q00000X
IL036-105067207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036105067Medicaid
L87085Medicare PIN
IL036105067Medicaid