Healthcare Provider Details

I. General information

NPI: 1982149159
Provider Name (Legal Business Name): CARMEN MURILLO APRN, CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2016
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 PLAINFIELD RD STE D
WILLOWBROOK IL
60527-7608
US

IV. Provider business mailing address

535 PLAINFIELD RD STE D
WILLOWBROOK IL
60527-7608
US

V. Phone/Fax

Practice location:
  • Phone: 630-277-9018
  • Fax: 866-531-8584
Mailing address:
  • Phone: 630-277-9018
  • Fax: 866-531-8584

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209015170
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: