Individual
MARCELO N MUNOZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2222 W DIVISION ST, SUITE 230, CHICAGO, IL 60622-2717
(773) 342-0993
(773) 342-0996
Mailing address
PO BOX 388320, CHICAGO, IL 60638-8320
(773) 767-8283
(773) 767-8320
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021602771
BLUE SHIELD
IL
01
—
P00158604
RAILROAD MEDICARE
—
Enumeration date
10/20/2005
Last updated
07/08/2007
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