Villalon, Mary Ann Longalong
Villalon, Mary Ann Longalong is an individual health care provider with primary practice located at 1203 W Augusta Blvd Ste 1 , Chicago IL 60642-4327. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health, Adult. Nursing Service Providers / Psychiatric/Mental Health, Adult is her primary health care specialty. Villalon, Mary Ann Longalong can be contacted via phone (773) 248-2255.Contact Information
Primary practice address
1203 W Augusta Blvd Ste 1
Chicago IL 60642-4327
Phone: (773) 248-2255
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 209028066 | Illinois |
Nursing Service Providers / Psychiatric/Mental Health, Adult | 163WP0809X | 041483639 | Illinois |
Profile Details
NPI number | 1447936984 |
---|---|
LBN Legal business name | Villalon, Mary Ann Longalong |
Credentials | PMHNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 27th, 2023 |
Last updated | Aug 14th, 2023 - about last year |
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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