Organization Active NPI

Blanca Murillo DDS

  • Dentist
  • Chicago, IL
National Provider Identifier
1093968869
Registry record updated Oct 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019025678 Issued in IL
Legal business name
BLANCA MURILLO DDS
Practice address
3939 W Fullerton Ave
Chicago, IL 60647-2243
Phone
(773) 235-0000
NPI assigned
Oct 24, 2008
Last updated
Oct 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Blanca Estela Murillo, DDS
Title
Dentist
Phone
(773) 544-1664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019025678 IL Primary

Addresses

Primary practice location

3939 W Fullerton Ave
Chicago, IL 60647-2243

Mailing address

4634 S Hermitage Ave
Chicago, IL 60609-3831
Phone (773) 544-1664

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224806400000",
    "number": "1093968869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4634 S HERMITAGE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606093831",
            "telephone_number": "773-544-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472243",
            "telephone_number": "773-235-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANCA MURILLO DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-24",
        "last_updated": "2008-10-24",
        "status": "A",
        "authorized_official_last_name": "MURILLO",
        "authorized_official_first_name": "BLANCA",
        "authorized_official_middle_name": "ESTELA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "773-544-1664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019025678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.