Individual
DR. ERNESTO J VILLEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
311 N ABERDEEN ST, STE 100B, CHICAGO, IL 60607-1249
(312) 733-0909
(312) 733-0908
Mailing address
311 N ABERDEEN ST, STE 100B, CHICAGO, IL 60607-1249
(312) 733-0909
(312) 733-0908
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01636562
BLUE CROSS BLUE SHIELD
IL
Enumeration date
02/12/2007
Last updated
07/08/2007
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