Provider Demographics
NPI:1952704488
Name:MURRAY, KARLA AUKSI (SLP)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:AUKSI
Last Name:MURRAY
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9935 MENARD AVE
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-3751
Mailing Address - Country:US
Mailing Address - Phone:708-422-6255
Mailing Address - Fax:
Practice Address - Street 1:9935 MENARD AVE
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-3751
Practice Address - Country:US
Practice Address - Phone:708-699-8140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-29
Last Update Date:2014-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.007818235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist