Individual
CHRISTIAN Q VILLASENOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
20201 S CRAWFORD AVENUE, OLYMPIA FIELDS, IL 60461-1010
(708) 326-1637
(708) 326-1671
Mailing address
35777 EAGLE WAY, CHICAGO, IL 60678-1357
(708) 503-1637
(708) 326-1671
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
99015186A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
209004510
IL
Other
Enumeration date
05/11/2006
Last updated
04/20/2023
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