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Jackelyn Villa
NPI 1588165740 · on the registry since 2018
Practice
- Address
- 2100 S Morgan St
Unit C101
Chicago, IL 60608 - Phone
- (224) 487-8567
- Clinicians at this address
- 8
Additional practice sites
- 6930 Roosevelt Rd, Oak Park, IL
- 3319 N Elston Ave, Chicago, IL
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 106S00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois