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

Mr. Richard John Abais Villaceran

Individual provider Family Nurse Practitioner · NPI 1245649862

Mr. Richard John Abais Villaceran is a Nurse Practitioner in Wauconda, Illinois. Qualified in 2014, 12 years ago. Practices with Family Medicine Specialists of Mount Prospect S C, a 16-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
12
Licensed in
IL
In the registry since
2014
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Practice location Address checks out

431 W Liberty St
Wauconda, IL 60084-2452
Phone: (847) 526-2151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209.011672 (IL)

Record details

NPI number1245649862
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 7, 2014
Last updated in NPPESAugust 7, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Family Medicine Specialists Of Mount Prospect S C — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Wauconda