MEDICARE: DR. RUKHSANA MUNEER M.D.

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
1	207RN0300X	Nephrology Physician	036084696	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	110217412	OTHER	IL	MEDICARE RAILROAD

General Provider Information

NPI Number	:	1891754362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RUKHSANA MUNEER M.D.

Provider Business Mailing Address
First Line	:	120 W 22ND ST STE 200
Second Line	:
City	:	OAK BROOK
State	:	IL
Zip	:	60523-1563
Country	:	US
Telephone Number	:	630-575-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	133 E BRUSH HILL RD
Second Line	:	SUITE 301
City	:	ELMHURST
State	:	IL
Zip	:	60126-5659
Country	:	US
Telephone Number	:	630-832-2183
Fax Number	:	630-832-2184

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2006
Last Update Date	:	11/05/2020

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