Individual
MR. BENJAMIN VILLAFANE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAB TECHNICIAN
Contact information
Practice address
9243 S ROBERTS RD, 2R, HICKORY HILLS, IL 60457-2079
(708) 907-5694
(773) 751-2250
Mailing address
9243 S ROBERTS RD, 2R, HICKORY HILLS, IL 60457-2079
(708) 907-5694
(773) 751-2250
Taxonomy
Speciality
Code
Description
License number
State
246R00000X
Pathology Technician
Primary
—
—
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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