Individual
FELIPE VILLALOBOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2724 N MARMORA AVE, CHICAGO, IL 60639-1220
(773) 504-6691
Mailing address
2724 N MARMORA AVE, CHICAGO, IL 60639-1220
(773) 504-6691
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238000320
IL
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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