Individual
LAURA MUNICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1725 W HARRISON ST, SUITE 1156, CHICAGO, IL 60612-3841
(312) 563-2716
(312) 563-4388
Mailing address
1725 W HARRISON ST, SUITE 1156, CHICAGO, IL 60612-3841
(312) 563-2716
(312) 563-4388
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209012665
IL
363LA2100X
Acute Care Nurse Practitioner
209012665
IL
363LG0600X
Gerontology Nurse Practitioner
209012665
IL
Other
Enumeration date
07/29/2015
Last updated
01/10/2018
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