Organization
EDUARDO VILLA, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDUARDO DE JESUS VILLA MD (PRESIDENT)
(847) 520-4887
Entity
Organization
Contact information
Practice address
622 N MILWAUKEE AVE, PROSPECT HEIGHTS, IL 60070-2353
(847) 520-4887
(847) 520-4936
Mailing address
5471 RFD, LONG GROVE, IL 60047-8211
(847) 520-4887
(847) 520-4936
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
36074074
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA643303
—
IL
Enumeration date
12/11/2007
Last updated
12/11/2007
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