Basic Information
| Provider Information | |||||||||
| NPI: | 1902359938 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | VINCE MURPHY & ASSOCIATES, P.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 715 LAKE ST | ||||||||
| Address2: | SUITE 510 | ||||||||
| City: | OAK PARK | ||||||||
| State: | IL | ||||||||
| PostalCode: | 603011422 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7085730424 | ||||||||
| FaxNumber: | 7085248556 | ||||||||
| Practice Location | |||||||||
| Address1: | 715 LAKE ST | ||||||||
| Address2: | SUITE 510 | ||||||||
| City: | OAK PARK | ||||||||
| State: | IL | ||||||||
| PostalCode: | 603011422 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7735329072 | ||||||||
| FaxNumber: | 7737512250 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/26/2016 | ||||||||
| LastUpdateDate: | 08/05/2019 | ||||||||
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| AuthorizedOfficialLastName: | MURPHY | ||||||||
| AuthorizedOfficialFirstName: | VINCENT | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7085730424 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | LCSW | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 149001022 | IL | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.