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Individual
MR. MARLON TAN MUNESES
Active
Individual
MR. MARLON TAN MUNESES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036096593
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036096593
—
IL
01
—
069003
HEALTH ALLIANE
—
01
—
080173568
RAILROAD MEDICARE
—
01
—
109744
PERSONAL CARE
—
01
—
1832428
UNITED HEALTHCARE
—
01
—
384581
UNITED MEDICAL RESOURCES
—
01
—
5369708
AETNA
—
01
—
5827807
BLUE CROSS BLUE SHIELD
IL
Enumeration date
10/24/2005
Last updated
02/26/2021
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