Provider Demographics
NPI:1992979058
Name:HUGO H MURIEL MDSC
Entity type:Organization
Organization Name:HUGO H MURIEL MDSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HUGO
Authorized Official - Middle Name:H
Authorized Official - Last Name:MURIEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-463-0325
Mailing Address - Street 1:3434 W PETERSON AVE
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-3300
Mailing Address - Country:US
Mailing Address - Phone:773-463-0325
Mailing Address - Fax:
Practice Address - Street 1:3434 W PETERSON AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659
Practice Address - Country:US
Practice Address - Phone:773-463-0325
Practice Address - Fax:773-463-3664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-18
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty