Healthcare Provider Details

I. General information

NPI: 1437331402
Provider Name (Legal Business Name): ISABEL MARIA MUNOZ D.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/03/2007
Last Update Date: 12/03/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1684 HIGHLAND AVE
NORTHBROOK IL
60062-5014
US

IV. Provider business mailing address

1684 HIGHLAND AV
NORTHBROOK IL
60062-6006
US

V. Phone/Fax

Practice location:
  • Phone: 847-924-3559
  • Fax:
Mailing address:
  • Phone: 847-924-3559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172P00000X
TaxonomyNaprapath
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: