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MUNOZ M.D. AND CVENGROS M.D. S.C. NPI 1710160130


NPI Information

NPI: 1710160130
Provider Name: MUNOZ M.D. AND CVENGROS M.D., S.C.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 14D0994335

Address:
2800 N SHERIDAN RD
SUITE G2
CHICAGO, IL
ZIP 60657
Phone: (773) 755-2600
Get Directions

MUNOZ M.D. AND CVENGROS M.D., S.C. is a family medicine in Chicago, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MUNOZ M.D. AND CVENGROS M.D., S.C. NPI is 1710160130. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2800 N SHERIDAN RD
SUITE G2
CHICAGO, IL
ZIP 60657-156
Phone: (773) 755-2600

The provider's authorized official is Teresa Cvengros .
The authorized official title is Physician and has the following contact phone number (773) 755-2600.

The CLIA number assigned to this NPI record is 14D0994335 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/7/2007 and was last updated on 3/31/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QS0010XFamily MedicineSports MedicineNo
22083X0100XPreventive MedicineOccupational MedicineNo
3207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10021625380OTHERILLINOISBLUE CROSS
2K18269OTHERILLINOISMEDICARE ID
3208795MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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