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Individual

DR. CARLITO VILLABONA ORIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6500 N 65TH ST, CHICAGO, IL 60638
(708) 496-1515
(708) 496-1788
Mailing address
3900 YORK ROAD, OAK BROOK, IL 60523
(708) 496-1515
(708) 496-1788

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
MD12875
HI
2083X0100X
Occupational Medicine Physician
Primary
IL

Other

Enumeration date
01/17/2007
Last updated
07/08/2007
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