MEDICARE: JASMINE MUNOZ

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	101Y00000X	Counselor		IL

General Provider Information

NPI Number	:	1346108107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASMINE MUNOZ

Provider Business Mailing Address
First Line	:	4369 FINCH CT APT 3
Second Line	:
City	:	GURNEE
State	:	IL
Zip	:	60031-2739
Country	:	US
Telephone Number	:	224-419-3459
Fax Number	:	224-419-3459

Provider Business Practice Location Address
First Line	:	4369 FINCH CT APT 3
Second Line	:
City	:	GURNEE
State	:	IL
Zip	:	60031-2739
Country	:	US
Telephone Number	:	224-419-3459
Fax Number	:	224-419-3459

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

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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Directions to “ JASMINE MUNOZ ” Practice Location

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