Organization
RAUL VILLASUSO MDSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAUL VILLASUSO MD (PRESIDENT)
(708) 450-4994
Entity
Organization
Contact information
Practice address
675 W NORTH AVE STE 201, MELROSE PARK, IL 60160-1629
(708) 450-4994
(708) 344-0877
Mailing address
675 W NORTH AVE STE 201, MELROSE PARK, IL 60160-1629
(708) 450-4994
(708) 344-0877
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
IL
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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