Organization
MARIUS-NUNEZ MEDICAL GROUP S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRES LUIS MARIUS M.D. (PRESIDENT)
(708) 484-9145
Entity
Organization
Contact information
Practice address
7036 CERMAK RD, BERWYN, IL 60402-2197
(708) 484-9145
(708) 484-0441
Mailing address
7036 CERMAK RD, BERWYN, IL 60402-2197
(708) 484-9145
(708) 484-0441
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036077902
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036077902
—
IL
01
—
1607253
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/30/2007
Last updated
02/02/2024
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