Search › Illinois › 207Q00000X
Jerry Villasenor, M.D
NPI 1831107135 · on the registry since 2006 · sole proprietor
Practice
- Address
- 2300 W Armitage Ave
Chicago, IL 60647 - Phone
- (708) 359-9244
- Fax
- (847) 787-5252
- Organisation at this address
- N.M.M. Dental, Ltd
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-02-08
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