MUNIB S MAFAZY

BLOOMINGTON, IL
NPI1588859169
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  277000805)
Enumeration Date2007-09-07
Last Update Date2025-01-24
Business Address
Mr. MUNIB S MAFAZY APRN
2204 EASTLAND DR
BLOOMINGTON, IL 61704-3566
Phone number: 309-661-6900
Mailing Address
Mr. MUNIB S MAFAZY APRN
611 W PARK FAPC
URBANA, IL 61801
Phone number: 217-902-6954