Eduardo Villa, M.D., S.C.

LBN: Eduardo Villa, M.D., S.C.
Eduardo Villa, M.D., S.C. is an health care organization with primary practice located at 622 N Milwaukee Ave , Prospect Heights IL 60070-2353. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Eduardo Villa, M.D., S.C. can be contacted via phone (847) 520-4887, or through Villa, Eduardo De Jesus via phone (847) 520-4887.

Contact Information

Primary practice address
622 N Milwaukee Ave Prospect Heights IL 60070-2353
Fax: (847) 520-4936
Website:
Authorized official contact:
Name: Villa, Eduardo De Jesus Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 36074074 Illinois

Profile Details

NPI number 1013190289
LBN Legal business name Eduardo Villa, M.D., S.C.
DBA Doing business as
Authorized official Villa, Eduardo De Jesus Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2007
Last updated Dec 11th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013190289 NPPES
Illinois MEDICAID NA643303

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