Individual
MARIA LUNA MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
(773) 665-3045
Mailing address
PO BOX 2486, INDIANAPOLIS, IN 46206-2486
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036045556
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621061
BCBS IL
IL
05
—
036045556
—
IL
01
—
132302200
DEPARTMENT OF LABOR
—
01
—
220021538
RAILROAD MEDICARE
—
01
—
364125320002
CHAMPUS
—
Enumeration date
09/15/2006
Last updated
03/23/2010
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