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Individual

DR. LORENZO F MUNOZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1725 W HARRISON ST, SUITE 970, CHICAGO, IL 60612-3841
(312) 942-6644
Mailing address
1725 W HARRISON ST, SUITE 970, CHICAGO, IL 60612-3841
(312) 942-6644

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036-097984-1
IL
208000000X
Pediatrics Physician
036-097984
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036-097984-1
IL
Enumeration date
09/12/2005
Last updated
09/29/2011
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