Individual
DANIEL MUNGUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4747 N MALDEN ST, CHICAGO, IL 60640-8023
(405) 401-2296
Mailing address
4747 N MALDEN ST, CHICAGO, IL 60640-8023
(405) 401-2296
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.010336
IL
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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