Organization
DR AHSAN AND ASSOC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY VILLASENOR JR. MD (DOCTOR)
(708) 788-2801
Entity
Organization
Contact information
Practice address
1640 WILLOW CIRCLE DR, CREST HILL, IL 60403-0959
(815) 741-2525
(815) 741-2522
Mailing address
1640 WILLOW CIRCLE DR, CREST HILL, IL 60403-0959
(815) 741-2525
(815) 741-2522
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
036-111596
IL
Other
Enumeration date
03/13/2007
Last updated
07/28/2009
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