Provider Demographics
NPI:1164055422
Name:MUNSHI, MUNIRA
Entity Type:Individual
Prefix:MS
First Name:MUNIRA
Middle Name:
Last Name:MUNSHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5907 N JERSEY AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-3619
Mailing Address - Country:US
Mailing Address - Phone:773-510-2371
Mailing Address - Fax:
Practice Address - Street 1:5907 N JERSEY AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-3619
Practice Address - Country:US
Practice Address - Phone:773-510-2371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-14
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst