Individual
PAVAN VABILISETTI MURTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1875 DEMPSTER ST STE 625, PARK RIDGE, IL 60068-1137
(847) 723-4088
(847) 627-8700
Mailing address
1875 DEMPSTER ST STE 625, PARK RIDGE, IL 60068-1137
(847) 723-4088
(847) 627-8700
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036.142841
IL
Other
Enumeration date
06/08/2012
Last updated
12/15/2021
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