Organization
D
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STELLA MUNOZ N.D. (NURSE PRACTITIONER)
(630) 279-4861
Entity
Organization
Contact information
Practice address
3825 CAMPTON HILLS DR, ST CHARLES, IL 60175-6062
(630) 584-0506
Mailing address
3825 CAMPTON HILLS DR, ST CHARLES, IL 60175-6062
(630) 584-0506
(630) 584-2669
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
209.004846
IL
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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