Provider Demographics
NPI:1588635940
Name:MUN, JOSEPH H (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:H
Last Name:MUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:HAK
Other - Middle Name:SOO
Other - Last Name:MUN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1445 N HUNT CLUB RD STE 102
Mailing Address - Street 2:
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-2603
Mailing Address - Country:US
Mailing Address - Phone:847-855-0300
Mailing Address - Fax:847-855-7950
Practice Address - Street 1:1445 N HUNT CLUB RD STE 102
Practice Address - Street 2:
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-2603
Practice Address - Country:US
Practice Address - Phone:847-855-0300
Practice Address - Fax:847-855-7950
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036101358207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK07743Medicare PIN
ILH21084Medicare UPIN