Organization
MID NORTH MEDICAL GROUP S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARESH MUKUND MUNI M.D (M.D)
(773) 989-2300
Entity
Organization
Contact information
Practice address
2740 W FOSTER AVE, SUITE 210, CHICAGO, IL 60625
(773) 989-2300
(773) 989-2307
Mailing address
2740 W FOSTER AVE, SUITE #210, CHICAGO, IL 60625
(773) 989-2300
(773) 989-2307
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
06/29/2006
Last updated
10/11/2007
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