| Eduardo Villa, M.d., S.c. | |
|
622 N Milwaukee Ave Prospect Heights IL 60070-2353 | |
| (847) 520-4887 | |
| (847) 520-4936 |
| Full Name | Eduardo Villa, M.d., S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 622 N Milwaukee Ave, Prospect Heights, Illinois |
| Authorized Official Name and Position | Eduardo De Jesus Villa (PRESIDENT) |
| Authorized Official Contact | 8475204887 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eduardo Villa, M.d., S.c. 5471 Rfd Long Grove IL 60047-8211 Ph: (847) 520-4887 | Eduardo Villa, M.d., S.c. 622 N Milwaukee Ave Prospect Heights IL 60070-2353 Ph: (847) 520-4887 |
| NPI Number | 1013190289 |
|---|---|
| Provider Enumeration Date | 12/11/2007 |
| Last Update Date | 12/11/2007 |
| Medicare PECOS PAC ID | 6709960198 |
|---|---|
| Medicare Enrollment ID | O20080225000055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013190289 | NPI | - | NPPES |
| NA643303 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 36074074 (Illinois) | Primary |
| Provider Name | Eduardo J Villa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447347802 PECOS PAC ID: 7012906092 Enrollment ID: I20040506001362 |
Illinois Home Med Visits Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 E Old Willow Rd, Unit #112, Prospect Heights, IL 60070 Phone: 773-631-6000 Fax: 773-894-7772 | |
Korean-american Community Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 664 N Milwaukee Ave, Suite 209, Prospect Heights, IL 60070 Phone: 847-520-1999 |