| Regina Munoz, | |
|
1 University Pkwy, University Park, IL 60484-3165 | |
| (708) 534-4040 | |
| Not Available |
| Full Name | Regina Munoz |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1 University Pkwy, University Park, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336856236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 041329695 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2022013681 (Illinois) | Primary |
| Entity Name | Beloved Community Family Wellness Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760408439 PECOS PAC ID: 0042216038 Enrollment ID: O20061016000042 |
| Mailing Address | Practice Location Address |
|---|---|
| Regina Munoz, 1 University Pkwy, University Park, IL 60484-3165 Ph: (708) 534-4040 | Regina Munoz, 1 University Pkwy, University Park, IL 60484-3165 Ph: (708) 534-4040 |
Mrs. Julia M Johnson, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 469 Fairway Ln, University Park, IL 60484 Phone: 708-465-7352 | |
Mrs. Tracey Mariene Ross, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 543 Irving Pl, University Park, IL 60484 Phone: 708-275-4204 | |
Greta Mcghee, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 552 Hickok Ave, University Park, IL 60484 Phone: 708-534-7551 | |
Monique Barnes, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 696 Madisen Ln, University Park, IL 60484 Phone: 708-314-8284 |