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NPI Code Detail

MEDICARE: RUSALINA C. MUNTEAN-MINCU MD

MEDICARE: RUSALINA C. MUNTEAN-MINCU MD
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
1207R00000XInternal Medicine Physician036097673IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21295782431OTHERILNPI I

General Provider Information

NPI Number : 1295782431
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUSALINA C. MUNTEAN-MINCU MD
Provider Business Mailing Address
First Line : PO BOX 746721
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6721
Country : US
Telephone Number : 312-733-9730
Fax Number : 773-866-8014
Provider Business Practice Location Address
First Line : 4848 W IRVING PARK RD
Second Line :
City : CHICAGO
State : IL
Zip : 60641-2718
Country : US
Telephone Number : 773-724-6200
Fax Number : 773-866-8015
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2006
Last Update Date : 08/25/2021

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