Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 038011362 | IL |
NPI | 1437399375 |
---|---|
Provider Name | Dr. Julio Munoz |
First Address | Glen Ellyn, IL 60137-4211 |
Second Address | Chicago, IL 60609-3844 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2009 |
Last Update Date | 16/05/2011 |