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General NPI Number Information
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NPI Number | 1770261885
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Entity Type | Individual
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Provider Name | VIJAY MURTHY MD, MBBS, MS, MCH
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Gender | Male
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Dates
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Enumeration Date | 07/10/2023
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 1969 W OGDEN AVE
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City | CHICAGO
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State | IL
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Zip | 60612-3765
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Country | US
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Telephone | 312-864-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 1950 W POLK ST STE 5210
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City | CHICAGO
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State | IL
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Zip | 60612-3723
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 036177461
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 326470
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 036177461
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License Number State | IL
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