Healthcare Provider Details

I. General information

NPI: 1568309466
Provider Name (Legal Business Name): VINCI NARUKA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 EAST HURON STREET, NORTHWESTERN MEMORIAL HOSPITAL
CHICAGO IL
60611
US

IV. Provider business mailing address

34 MASTERS COURT, LYON ROAD
HARROW, LONDON UNITED KINGDOM
HA1 2BT
GB

V. Phone/Fax

Practice location:
  • Phone: 312-926-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: