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Mr. Munib Said Mafazy, NURSEPRACTIONER
Family Nurse Practitioner in Bloomington, Illinois
NPI 1588859169

Munib Said Mafazy is a Family Nurse Practitioner based in Bloomington, IL and is specialized in Family. Munib Said Mafazy practices in Bloomington, IL and has the professional credentials of NURSEPRACTIONER. The NPI Number for Munib Said Mafazy is 1588859169 and holds a License No. 209.006784 (Illinois).

The current practice location address for Munib Said Mafazy is 2204 Eastland Dr, Bloomington, IL and can be reached out via phone at 309-661-6900.

Location: 2204 Eastland Dr, Bloomington, IL, 61704-3566
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588859169
Provider Name
Munib Said Mafazy
Credential
NURSEPRACTIONER
Provider Entity Type
Individual
Gender
Male
Address
2204 Eastland Dr, Bloomington, IL, 61704-3566
Phone Number
309-661-6900
Fax Number
Provider Enumeration Date
09/07/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2204 Eastland Dr
City
Bloomington
State
Illinois
Zip
61704-3566
Phone Number
309-661-6900
Fax Number
person
Provider Business Mailing Address Details
Address
2204 Eastland Dr
City
Bloomington
State
Illinois
Zip
61704-3566
Phone Number
309-661-6900
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209.006784 (Illinois)
Definition
Definition to come...
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