Organization
JAVIER MUNIZ, DO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAVIER MUNIZ DO (OWNER)
(618) 942-5883
Entity
Organization
Contact information
Practice address
315 S 13TH ST, SUITE 2, HERRIN, IL 62948-3619
(618) 942-5883
(618) 942-5921
Mailing address
315 S 13TH ST, SUITE 2, HERRIN, IL 62948-3619
(618) 942-5883
(618) 942-5921
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036097846
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036097846
—
IL
01
—
10032009
BCBS
IL
01
—
101436
BLACK LUNG
IL
01
—
110245013
RR MEDICARE
IL
01
—
385740
HEALTHLINK
IL
01
—
39692
HEALTH ALLIANCE
IL
Enumeration date
07/21/2006
Last updated
07/11/2012
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