Individual
AUSENCIO NUNEZ
Active
Individual
AUSENCIO NUNEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036078267
IL
208000000X
Pediatrics Physician
036078267
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02205538
BCBS PROVIDER NUMBER
IL
05
—
036078267
—
IL
01
—
363950044
TAXID
IL
01
—
CF9448
RAILROAD MEDICARE GROUP #
IL
Enumeration date
02/07/2007
Last updated
05/23/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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