Villafuerte, Lydia Simeona Q

Villafuerte, Lydia Simeona Q is an individual health care provider with primary practice located at 2950 S 6Th St , Springfield IL 62703-5904. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Villafuerte, Lydia Simeona Q can be contacted via phone (217) 588-7450.

Contact Information

Primary practice address
2950 S 6Th St Springfield IL 62703-5904
Phone: (217) 588-7450
Fax: (217) 588-7483
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036089825 Illinois

Profile Details

NPI number 1548249469
LBN Legal business name Villafuerte, Lydia Simeona Q
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Jun 1st, 2015 - about 9 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548249469 NPPES
Illinois MEDICAID 036089825

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