Individual
COREY JAMES MUNRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2701 W 68TH ST, CHICAGO, IL 60629-1813
(773) 434-4040
Mailing address
2701 W 68TH ST, CHICAGO, IL 60629-1813
(773) 434-4040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/04/2025
Last updated
10/07/2025
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