Individual
DIEGO MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.S
Contact information
Practice address
25775 W IL ROUTE 134, INGLESIDE, IL 60041-9587
(630) 550-7694
Mailing address
25775 W IL ROUTE 134, INGLESIDE, IL 60041-9587
(630) 550-7694
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2537959
IL
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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