Individual
JENNIFER MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3231 EUCLID AVE, BERWYN, IL 60402-3471
(708) 783-3690
Mailing address
3231 EUCLID AVE, BERWYN, IL 60402-3471
(708) 783-3690
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125.082929
IL
390200000X
Student in an Organized Health Care Education/Training Program
125.082929
IL
Other
Enumeration date
03/22/2023
Last updated
07/11/2023
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