Jose A Villanueva IV
Jose A Villanueva IV is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Licensed in Wisconsin. Registered with an NPI since 2020.
- Licensed in
- WI
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
801 S Paulina StChicago, IL 60612-7210
Phone: (312) 996-7555
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Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 1002599-15 (WI) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1215537113 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 29, 2020 |
| Last updated in NPPES | July 9, 2021 |
| Certification date | July 9, 2021 |
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