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Individual

LESLIE GUILLERMINA VILLALOBOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
118 N FROLIC AVE, WAUKEGAN, IL 60085-4522
(847) 899-9746
Mailing address
2400 BELVIDERE RD, WAUKEGAN, IL 60085-6165
(847) 377-8800

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.423820
IL
363LF0000X
Family Nurse Practitioner
Primary
209020281
IL

Other

Enumeration date
09/26/2019
Last updated
03/03/2025
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