Individual
LAURA VILLAVICENCIO BRIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
150 E HURON ST, CHICAGO, IL 60611-2999
(773) 572-8383
(312) 915-0249
Mailing address
1627 N FAIRFIELD AVE, 3, CHICAGO, IL 60647-5207
(813) 504-2013
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036.152847
IL
Other
Enumeration date
04/27/2016
Last updated
09/01/2020
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