Doctor Name: | TOMAS IGNACIO MUNOZ |
NPI Number: | 1710225263 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | |
Business Practice Address: | 900 Jorie Blvd Suit 186 Oak Brook, IL - 605232213 |
Business Phone Number: | 6309546700 |
Business Fax Number: | 6309541555 |
Mailing Address: | 1931 N Honore St, 2r CHICAGO |
State: | IL |
Postal Code: | 606221046 |
Phone Number: | 6309546700 |
Fax Number: | |
NPI Enumeration Date: | 01/17/2013 |
NPI Last Update Date: | 04/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261Q00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |