Individual
MUNISH TANEJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1718
(847) 570-1463
(847) 733-5768
Mailing address
2650 RIDGE AVE, EVANSTON, IL 60201-1718
(847) 570-1463
(847) 733-5768
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.131832
IL
207R00000X
Internal Medicine Physician
28019
OK
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
036.131832
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
28019
OK
208M00000X
Hospitalist Physician
Primary
036131832
IL
Other
Enumeration date
11/10/2009
Last updated
05/27/2020
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