| Doctor Name: | DR. PROCOPIO MIGUEL MUNOZ |
| NPI Number: | 1578513990 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | |
| Business Practice Address: | 2200 E Devon Ave Suite 285 Des Plaines, IL - 600184503 |
| Business Phone Number: | 8472577984 |
| Business Fax Number: | 8478139091 |
| Mailing Address: | 5045 Jarlath Ave, SKOKIE |
| State: | IL |
| Postal Code: | 600773460 |
| Phone Number: | 8476761415 |
| Fax Number: | 7734893061 |
| NPI Enumeration Date: | 05/10/2006 |
| NPI Last Update Date: | 12/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |