Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Josue David Villacis

Individual provider Athletic Trainer · NPI 1386453124

Josue David Villacis is an Athletic Trainer in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2025

Practice location Address checks out

5530 S Ellis Ave
Chicago, IL 60637-1402
Phone: (773) 858-0330
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 096004155 (IL)

Record details

NPI number1386453124
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 6, 2025
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025
Mailing address5412 N Kenmore Ave Apt 1w, Chicago, IL 60640-1810

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