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Individual

JABARI E MUNROE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2300 N EDWARD ST STE 3200, DECATUR, IL 62526-4163
(217) 876-3660
(217) 876-3665
Mailing address
2300 N EDWARD ST STE 3200, DECATUR, IL 62526-4163
(217) 876-3660
(217) 876-3665

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036170388
IL
208M00000X
Hospitalist Physician
036170388
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
336126212
CS LICENSE
IL
Enumeration date
07/22/2021
Last updated
09/25/2024
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