Provider Demographics
NPI:1376704676
Name:MURATI, NEHRU (MD)
Entity Type:Individual
Prefix:DR
First Name:NEHRU
Middle Name:
Last Name:MURATI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:912 NORTHWEST HWY
Mailing Address - Street 2:SUITE 107
Mailing Address - City:FOX RIVER GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60021-1925
Mailing Address - Country:US
Mailing Address - Phone:847-462-5100
Mailing Address - Fax:847-462-5101
Practice Address - Street 1:912 NORTHWEST HWY
Practice Address - Street 2:SUITE 107
Practice Address - City:FOX RIVER GROVE
Practice Address - State:IL
Practice Address - Zip Code:60021-1925
Practice Address - Country:US
Practice Address - Phone:847-462-5100
Practice Address - Fax:847-462-5101
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-19
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-127790207R00000X
IL125055111207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine