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VILLASENOR IN-HOME PATIENT CARE LLC NPI 1780006619


NPI Information

NPI: 1780006619
Provider Name: VILLASENOR IN-HOME PATIENT CARE LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1639 OAK PARK AVE
BERWYN, IL
ZIP 60402
Phone: (708) 788-2801
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VILLASENOR IN-HOME PATIENT CARE LLC is a family medicine in Berwyn, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. VILLASENOR IN-HOME PATIENT CARE LLC NPI is 1780006619. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1639 OAK PARK AVE
BERWYN, IL
ZIP 60402-782
Phone: (708) 788-2801
Fax: (847) 787-5252

The provider's authorized official is Jerry Villasenor .
The authorized official title is Family Practice and has the following contact phone number (708) 788-2801.

The enumeration date for this NPI number is 1/12/2014 and was last updated on 1/12/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine036-111596ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
148052MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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