Individual
JAVIER MUNIZ
Active
Individual
JAVIER MUNIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036097846
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010143600
BLACK LUNG
—
01
—
10032009
BCBS
IL
01
—
110245013
RR MEDICARE
—
01
—
385740
HEALTHLINK
IL
01
—
39692
HEALTH ALLIANCE
IL
Enumeration date
05/23/2005
Last updated
07/11/2012
Update your record
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