Deato, Mary Christine Villanueva
Deato, Mary Christine Villanueva is an individual health care provider with primary practice located at 800 Biesterfield Rd Ste 610 , Elk Grove Village IL 60007-3362. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Deato, Mary Christine Villanueva can be contacted via phone (847) 981-3630.Contact Information
Primary practice address
800 Biesterfield Rd Ste 610
Elk Grove Village IL 60007-3362
Phone: (847) 981-3630
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 209.013165 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 209.013165 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 209.013165 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209.013165 | Illinois |
Profile Details
| NPI number | 1992172944 |
|---|---|
| LBN Legal business name | Deato, Mary Christine Villanueva |
| Credentials | RN, MSN, AGPCNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2015 |
| Last updated | Feb 13th, 2024 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992172944 | NPPES |
| Illinois | Other | 209013165 | STATE LICENSE |
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