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Individual

ALEXIS VILLA SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8450 S KEDZIE AVE, CHICAGO, IL 60652-3341
(312) 668-9719
(312) 668-9365
Mailing address
2941 W 101ST PL, EVERGREEN PARK, IL 60805-3542
(971) 517-5726
(312) 668-9365

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
05/09/2025
Last updated
05/09/2025
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