Individual
JAIME VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 N WINFIELD RD, STE 300, WINFIELD, IL 60190
(630) 871-6699
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036096941
IL
207RP1001X
Pulmonary Disease Physician
Primary
036096941
IL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
036096941
IL
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
036096941
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036096941
—
IL
Enumeration date
03/29/2006
Last updated
08/28/2023
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