Individual
DR. DIEGO COLE VILLACIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-1000
(262) 434-5050
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036139529
IL
207X00000X
Orthopaedic Surgery Physician
Primary
75491
WI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
036139529
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100174818
—
WI
Enumeration date
01/18/2012
Last updated
07/17/2024
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