Individual
SILVIA MARIA VILLALOBOS SANCHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 S PAULINA ST, CHICAGO, IL 60612-7210
(312) 413-4467
Mailing address
1000 E 53RD ST UNIT 614, CHICAGO, IL 60615-4380
(608) 628-8911
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
019.033152
IL
1223P0300X
Periodontics
Primary
12013313A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
12/30/2020
Last updated
08/05/2021
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