Munoz Medical Center LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

036119790 Issued in IL

Legal business name

MUNOZ MEDICAL CENTER LLC

Practice address

5129 N Austin Ave
Chicago, IL 60630-1902

Phone

(773) 450-1952

Fax

(708) 447-3022

NPI assigned

Jul 30, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Victor Munoz, M.D.

Title

Manager

Phone

(773) 450-1952

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1578841177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5129 N AUSTIN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301902",
            "telephone_number": "773-450-1952",
            "fax_number": "708-447-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5129 N AUSTIN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301902",
            "telephone_number": "773-450-1952",
            "fax_number": "708-447-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNOZ MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-30",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-450-1952",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036119790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ananya Munjal, MD
• Printiss E Munn Jr., LMT, MMP
• Kenneth A Munnerlyn, MD
• Carmin Munoz Lavanderos
• Munoz M.D. and Cvengros M.D., S.C.
• Lucy Munoz Medina, MD
• Alan Munoz, PT, DPT
• Ann B Munoz, CRNA
• Celia Munoz
• Cinthia M Munoz

• Primary Care Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.