Individual
MARY CHRISTINE VILLANUEVA DEATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, AGPCNP-BC
Contact information
Practice address
800 BIESTERFIELD RD STE 610, ELK GROVE VILLAGE, IL 60007-3362
(847) 981-3630
Mailing address
800 BIESTERFIELD RD STE 610, ELK GROVE VILLAGE, IL 60007-3362
(847) 981-3630
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.013165
IL
363LA2200X
Adult Health Nurse Practitioner
209.013165
IL
363LG0600X
Gerontology Nurse Practitioner
209.013165
IL
363LP2300X
Primary Care Nurse Practitioner
209.013165
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209013165
STATE LICENSE
IL
Enumeration date
08/25/2015
Last updated
02/13/2024
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