Individual
DR. MARIA S VILLEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 N WALL ST, SUITE 405, KANKAKEE, IL 60901-2940
(815) 932-6632
(815) 932-5760
Mailing address
PO BOX 781, KANKAKEE, IL 60901-0781
(815) 935-7256
(815) 935-7340
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036104837
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36104837
—
IL
01
—
4632039
BC GROUP #
IL
Enumeration date
09/20/2006
Last updated
03/29/2021
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