Provider Demographics
NPI:1871219378
Name:MURPHY, MICHAEL (LSW)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:MURPHY
Suffix:
Gender:M
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 W PALMER BLVD APT G
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-2826
Mailing Address - Country:US
Mailing Address - Phone:847-800-5164
Mailing Address - Fax:
Practice Address - Street 1:1375 E WOODFIELD RD STE 220
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-6068
Practice Address - Country:US
Practice Address - Phone:847-383-7090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-17
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150.109066104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker