Organization
MEDICAL SURGICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS R. MUNOZ M.D. (MEDICAL DIRECTOR)
77338100380
Entity
Organization
Contact information
Practice address
7456 S STATE RD, SUITE 104, BEDFORD PARK, IL 60638-6623
(773) 382-0380
Mailing address
7456 S STATE RD, SUITE 104, BEDFORD PARK, IL 60638-6623
(773) 382-0380
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
036-075843
IL
Other
Enumeration date
10/13/2013
Last updated
10/13/2013
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