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NPI Code Detail

MEDICARE: REGINA MUNOZ

MEDICARE: REGINA MUNOZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse041329695IL
2363LF0000XFamily Nurse Practitioner2022013681IL

General Provider Information

NPI Number : 1336856236
Entity Type Code : Individual
Provider Name (Legal Business Name) : REGINA MUNOZ
Provider Business Mailing Address
First Line : 1 UNIVERSITY PKWY
Second Line :
City : UNIVERSITY PARK
State : IL
Zip : 60484-3165
Country : US
Telephone Number : 708-534-4040
Fax Number :
Provider Business Practice Location Address
First Line : 1 UNIVERSITY PKWY
Second Line :
City : UNIVERSITY PARK
State : IL
Zip : 60484-3165
Country : US
Telephone Number : 708-534-4040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2022
Last Update Date : 08/14/2024

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Directions to “ REGINA MUNOZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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