Individual
MRS. MARIA CRISTINA VILLASENOR ESPERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 W HOMER ST, SUITE 301, CHICAGO, IL 60642-1280
(888) 785-7370
(888) 785-7380
Mailing address
1535 COLUMBINE CIR, ROMEOVILLE, IL 60446-4978
(815) 685-7684
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.002897
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
836195
COMMISSION ON DIETETIC REGISTRATION
IL
01
—
P00705063
MEDICARE RAILROAD CARRIER
IL
Enumeration date
09/09/2008
Last updated
08/05/2009
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