Villegas, Maria S

Villegas, Maria S is an individual health care provider with primary practice located at 400 N Wall St Suite 405, Kankakee IL 60901-2940. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Villegas, Maria S can be contacted via phone (815) 932-6632.

Contact Information

Primary practice address
400 N Wall St Suite 405 Kankakee IL 60901-2940
Phone: (815) 932-6632
Fax: (815) 932-5760
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 036104837 Illinois

Profile Details

NPI number 1033217104
LBN Legal business name Villegas, Maria S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Mar 29th, 2021 - about 3 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 1033217104 NPPES
Illinois Other 4632039 BC GROUP #
Illinois MEDICAID 36104837 BC GROUP #

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