Provider Demographics
NPI:1841284437
Name:MURPHY, DARLA SUE (MD)
Entity type:Individual
Prefix:DR
First Name:DARLA
Middle Name:SUE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:30 W MONROE ST STE 1200
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60603-2420
Mailing Address - Country:US
Mailing Address - Phone:312-733-9730
Mailing Address - Fax:773-866-8014
Practice Address - Street 1:3525 SAGINAW RD
Practice Address - Street 2:
Practice Address - City:BURTON
Practice Address - State:MI
Practice Address - Zip Code:48529-1260
Practice Address - Country:US
Practice Address - Phone:102-223-0408
Practice Address - Fax:810-958-1176
Is Sole Proprietor?:No
Enumeration Date:2005-09-09
Last Update Date:2020-09-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MIDM076048207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
I00810Medicare UPIN