Provider Demographics
NPI:1982845814
Name:MURRA-TALAMAS, SALVADOR SR (MD)
Entity Type:Individual
Prefix:MR
First Name:SALVADOR
Middle Name:
Last Name:MURRA-TALAMAS
Suffix:SR
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 1:1730 N. FARNSWORTH AVE.
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60505-1584
Mailing Address - Country:US
Mailing Address - Phone:630-820-8999
Mailing Address - Fax:
Practice Address - Street 1:1730 N. FARNSWORTH AVE.
Practice Address - Street 2:SUITE 1A
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60505-1584
Practice Address - Country:US
Practice Address - Phone:630-820-8999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-24
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL336.012858207Q00000X
IL036.046255207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine