Individual
ANDRES LUIS MARIUS-NUNEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7036 CERMAK RD, BERWYN, IL 60402-2197
(708) 484-9145
(708) 484-0441
Mailing address
7036 CERMAK RD, BERWYN, IL 60402-2197
(708) 484-9145
(708) 484-0441
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036077902
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036077902
—
IL
01
—
1607253
BCBS OF ILLINOIS
IL
Enumeration date
09/17/2006
Last updated
02/02/2024
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