person
Jose A Villanueva IV
General Practice Dentistry in Chicago, Illinois
NPI 1215537113

Jose A Villanueva IV is a General Practice Dentistry based in Northbrook, IL and is specialized in General Practice. Jose A Villanueva IV practices in Chicago, IL. The NPI Number for Jose A Villanueva IV is 1215537113 and holds a License No. (Illinois).

The current practice location address for Jose A Villanueva IV is 801 S Paulina St, Chicago, IL and can be reached out via phone at 312-996-7555.

Location: 801 S Paulina St, Chicago, IL, 60062-2506
person
Provider Profile Details
NPI Number
1215537113
Provider Name
Jose A Villanueva IV
Credential
Provider Entity Type
Individual
Gender
Male
Address
801 S Paulina St, Chicago, IL, 60062-2506
Phone Number
312-996-7555
Fax Number
Provider Enumeration Date
10/29/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
801 S Paulina St
City
State
Zip
60612-7210
Phone Number
312-996-7555
Fax Number
person
Provider Business Mailing Address Details
Address
801 S Paulina St
City
State
Zip
60612-7210
Phone Number
312-996-7555
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
1002599-15 (Wisconsin)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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