Healthcare Provider Details

I. General information

NPI: 1245235290
Provider Name (Legal Business Name): GILBERTO MUNOZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 N SHERIDAN RD STE G2
CHICAGO IL
60657-6163
US

IV. Provider business mailing address

195 N HARBOR DR APT 4708
CHICAGO IL
60601-7540
US

V. Phone/Fax

Practice location:
  • Phone: 773-755-2600
  • Fax: 773-880-0403
Mailing address:
  • Phone: 312-946-8847
  • Fax: 312-946-8704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number036096159
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number036096159
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: