Provider Demographics
NPI:1396858064
Name:VINTA, MURALI K (MD)
Entity Type:Individual
Prefix:DR
First Name:MURALI
Middle Name:K
Last Name:VINTA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2500 W. HIGGINS RD.
Mailing Address - Street 2:SUITE 620
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60194
Mailing Address - Country:US
Mailing Address - Phone:847-839-8800
Mailing Address - Fax:847-839-8808
Practice Address - Street 1:1111 SUPERIOR ST
Practice Address - Street 2:SUITE 304
Practice Address - City:MELROSE PARK
Practice Address - State:IL
Practice Address - Zip Code:60160-4138
Practice Address - Country:US
Practice Address - Phone:708-344-7800
Practice Address - Fax:708-344-7804
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
IL036116743207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology