| Milagros Villalobos Md Sc | |
|
2540 W Division St Chicago IL 60622-2806 | |
| (773) 489-5440 | |
| (773) 489-5460 |
| Full Name | Milagros Villalobos Md Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 2540 W Division St, Chicago, Illinois |
| Authorized Official Name and Position | Milagros Villalobos (DIRECTOR) |
| Authorized Official Contact | 7734895440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Milagros Villalobos Md Sc 2540 W Division St Chicago IL 60622-2806 Ph: (773) 489-5440 | Milagros Villalobos Md Sc 2540 W Division St Chicago IL 60622-2806 Ph: (773) 489-5440 |
| NPI Number | 1962511022 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6002814704 |
|---|---|
| Medicare Enrollment ID | O20061113000166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962511022 | NPI | - | NPPES |
| 1636530 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
| Provider Name | Milagros Villalobos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356366454 PECOS PAC ID: 6901804608 Enrollment ID: I20061113000188 |
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