Villasenor In-Home Patient Care LLC

NPI #1780006619 in Berwyn, Illinois

Provider Information

NPI Number: 1780006619
Entity Type: Organization
Organization Name: Villasenor In-Home Patient Care LLC
Primary Specialty: Family Medicine
Enumeration Date: Jan 12, 2014
Last Updated: Jan 12, 2014

Practice Location

Address: 1639 OAK PARK AVE
City: Berwyn
State: Illinois
ZIP Code: 60402-1782
Phone: (708) 788-2801

Authorized Official

Name: DR. JERRY VILLASENOR JR., MD
Title: FAMILY PRACTICE
Phone: (708) 788-2801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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