Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 036152216 | IL |
N | 207VX0201X | Gynecologic Oncologist | MD452491 | PA |
NPI | 1265698849 |
---|---|
Provider Name | Stephanie A Munns |
First Address | Elk Grove Village, IL 60007-3378 |
Second Address | Elk Grove Village, IL 60007-3378 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2008 |
Last Update Date | 07/04/2021 |