Individual
FRANK VILLA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125073939
IL
208600000X
Surgery Physician
MD200001374
DC
Other
Enumeration date
03/27/2019
Last updated
11/05/2024
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