Provider Demographics
NPI:1750517504
Name:MURASKI, STEVEN J (DMD, MS)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:J
Last Name:MURASKI
Suffix:
Gender:M
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 LARKIN AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-4404
Mailing Address - Country:US
Mailing Address - Phone:847-531-5440
Mailing Address - Fax:847-531-5448
Practice Address - Street 1:2000 LARKIN AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-4404
Practice Address - Country:US
Practice Address - Phone:847-531-5440
Practice Address - Fax:847-531-5448
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-08
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL021.001911019.0241161223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics