Individual
DR. AMANDA MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
471 W ARMY TRAIL RD STE 103, BLOOMINGDALE, IL 60108
(630) 980-3366
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036143162
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036143162
—
IL
Enumeration date
05/14/2014
Last updated
08/29/2023
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