Individual
ANTHONY JOSEPH MUNACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 NE GLEN OAK AVE, PEORIA, IL 61603-3105
(309) 655-2343
(309) 655-3948
Mailing address
420 NE GLEN OAK AVE, PEORIA, IL 61603-3105
(309) 655-2343
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301089792
MI
2086S0120X
Pediatric Surgery Physician
Primary
036.142980
IL
Other
Enumeration date
06/21/2007
Last updated
05/01/2017
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