| Doctor Name: | MARIDREN S. MURILLO |
| NPI Number: | 1780758615 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPT |
| License Number: | 070-012209 |
| Business Practice Address: | 1170 Park Ave W Highland Park, IL - 600352203 |
| Business Phone Number: | 8474333700 |
| Business Fax Number: | 8474331699 |
| Mailing Address: | 100 E Irving Park Rd, Ste. #107 ROSELLE |
| State: | IL |
| Postal Code: | 601722048 |
| Phone Number: | 6304390009 |
| Fax Number: | 6304390011 |
| NPI Enumeration Date: | 11/20/2006 |
| NPI Last Update Date: | 07/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 070-012209 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |