Individual
DR. EDUARDO J. VILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5140 N. CALIFORNIA AVE., SUITE 545-GMP, CHICAGO, IL 60625
(773) 907-3038
(773) 989-3815
Mailing address
5140 N. CALIFORNIA AVE., SUITE 545-GMP, CHICAGO, IL 60625
(773) 907-3038
(773) 989-3815
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036074074
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA643303
—
IL
Enumeration date
10/06/2006
Last updated
04/12/2021
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