Individual
ANA ISABEL VILLASANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5036 W 24TH PL, CICERO, IL 60804-3422
(773) 818-3832
Mailing address
5036 W 24TH PL, CICERO, IL 60804-3422
(773) 818-3832
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
227.012558
IL
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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