Individual
MAURICIO VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4440W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5673
(708) 684-2500
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-4757
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036144641
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036-144641
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2015
Last updated
08/01/2022
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