Individual
ADILENE VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 SOUTHWICK DR, MATTESON, IL 60443-2254
(708) 407-3664
Mailing address
4801 SOUTHWICK DR, MATTESON, IL 60443-2254
(708) 407-3664
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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