Individual
MS. NOEMI VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4959 W BELMONT AVE, CHICAGO, IL 60641-4332
(773) 930-3642
Mailing address
3706 N MONTICELLO AVE, CHICAGO, IL 60618-4118
(773) 600-5677
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.006348
IL
Other
Enumeration date
09/29/2017
Last updated
09/29/2017
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