Individual provider Active NPI

Blanca Estela Murillo, DDS

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1619037322
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019026578 Issued in IL
Practice address
5036 S Archer Ave
Chicago, IL 60632-4247
Phone
(773) 772-7744
Fax
(773) 424-6021
NPI assigned
Dec 11, 2006
Last updated
May 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019026578 IL Primary

Addresses

Primary practice location

5036 S Archer Ave
Chicago, IL 60632-4247

Mailing address

5036 S Archer Ave
Chicago, IL 60632-4247
Phone (773) 772-7744

Other practice location 1

1504 N Western Ave
dental office
Chicago, IL 60622-1746
Phone (773) 772-7744

Other identifiers 1

IdentifierTypeStateIssuer
9177501MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019026578ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Brite Smile DDS PC General Practice Current Accepting new patients
Dr. Murillo DDS Inc Current Accepting new patients

Locations

5036 S Archer Ave
Chicago, IL 60632
Phone (773) 767-8088

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1619037322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5036 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606324247",
            "telephone_number": "773-772-7744",
            "fax_number": "773-424-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5036 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606324247",
            "telephone_number": "773-772-7744",
            "fax_number": "773-424-6021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1504 N Western Ave",
            "address_2": "dental office",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606221746",
            "country_code": "US",
            "telephone_number": "773-772-7744",
            "fax_number": "773-772-7045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURILLO",
        "first_name": "BLANCA",
        "middle_name": "ESTELA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019026578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9177501",
            "state": "IL"
        }
    ],
    "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 May 22, 2025; 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.