Healthcare Provider Details

I. General information

NPI: 1356156566
Provider Name (Legal Business Name): CLAUDIA ANGELICA MUNOZ CAM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2025
Last Update Date: 02/13/2025
Certification Date: 02/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2124 COLONIAL ST
AURORA IL
60503-4613
US

IV. Provider business mailing address

2124 COLONIAL ST
AURORA IL
60503-4613
US

V. Phone/Fax

Practice location:
  • Phone: 773-759-3190
  • Fax:
Mailing address:
  • Phone: 773-759-3190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: