Basic Information
| Provider Information | |||||||||
| NPI: | 1518186824 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | VILLANO | ||||||||
| FirstName: | MARIA JUSTINA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1051 W RAND RD STE 210 | ||||||||
| Address2: | |||||||||
| City: | ARLINGTON HEIGHTS | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600042315 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8477258401 | ||||||||
| FaxNumber: | 8474542236 | ||||||||
| Practice Location | |||||||||
| Address1: | 1051 W RAND RD STE 210 | ||||||||
| Address2: | |||||||||
| City: | ARLINGTON HEIGHTS | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600042315 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8477258453 | ||||||||
| FaxNumber: | 8474542236 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/25/2007 | ||||||||
| LastUpdateDate: | 05/11/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/11/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RE0101X | 57006090 | OH | N | Allopathic & Osteopathic Physicians | Internal Medicine | Endocrinology, Diabetes & Metabolism | 207RE0101X | 036-125299 | IL | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Endocrinology, Diabetes & Metabolism |
No ID Information.