| Javier Muniz, Do, Llc | |
|
315 S 13th St Suite 2 Herrin IL 62948-3619 | |
| (618) 942-5883 | |
| (618) 942-5921 |
| Full Name | Javier Muniz, Do, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 315 S 13th St, Herrin, Illinois |
| Authorized Official Name and Position | Javier Muniz (OWNER) |
| Authorized Official Contact | 6189425883 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Javier Muniz, Do, Llc 315 S 13th St Suite 2 Herrin IL 62948-3619 Ph: (618) 942-5883 | Javier Muniz, Do, Llc 315 S 13th St Suite 2 Herrin IL 62948-3619 Ph: (618) 942-5883 |
| NPI Number | 1700807575 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 07/11/2012 |
| Medicare PECOS PAC ID | 4789687401 |
|---|---|
| Medicare Enrollment ID | O20060818000532 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700807575 | NPI | - | NPPES |
| 385740 | Other | IL | HEALTHLINK |
| 39692 | Other | IL | HEALTH ALLIANCE |
| 036097846 | Medicaid | IL | |
| 10032009 | Other | IL | BCBS |
| 101436 | Other | IL | BLACK LUNG |
| 110245013 | Other | IL | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036097846 (Illinois) | Primary |
| Provider Name | Javier Muniz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548263668 PECOS PAC ID: 0143223297 Enrollment ID: I20060810000429 |
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