Individual
MICHAEL D VILLWOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, CNP
Contact information
Practice address
15300 WEST AVE STE 20, ORLAND PARK, IL 60462-4504
(708) 460-5550
(708) 226-2595
Mailing address
15300 WEST AVE STE 20, ORLAND PARK, IL 60462-4504
(708) 460-5550
(708) 226-2595
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
041-224149
IL
363L00000X
Nurse Practitioner
Primary
209001480
IL
363LF0000X
Family Nurse Practitioner
209001480
IL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
209000502
IL
Other
Enumeration date
10/23/2006
Last updated
07/24/2024
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