Individual
DR. ELIAS MURCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3924 W FULLERTON AVE, CHICAGO, IL 60647-2228
(773) 276-2229
(773) 276-2190
Mailing address
1431 N WESTERN AVE, SUITE #406, CHICAGO, IL 60622-1797
(312) 633-5841
(312) 491-5020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036107113
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036107113
—
IL
Enumeration date
11/28/2005
Last updated
01/09/2012
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