Christian E Villadolid in Winfield - Physician Assistant
Christian E Villadolid - NPI 1013133685
Christian E Villadolid is a Physician Assistant in Winfield, Illinois. Christian E Villadolid practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Christian E Villadolid is 1013133685. The last update date is 2022-09-16.
Christian E Villadolid's current location address is 25 N Winfield Rd Ste 424, Winfield, Illinois. You can contact this provider via phone number 6309334056 and fax number 6309334057. The mailing address for Christian E Villadolid is 25 N Winfield Rd Ste 424, Winfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christian E Villadolid |
|---|---|
| Address | 25 N Winfield Rd Ste 424, Winfield, Illinois |
| Phone Number | 6309334056 |
| Fax Number | 6309334057 |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1013133685 |
|---|---|
| Provider Enumeration Date | 2007-04-18 |
| Last Updated Date | 2022-09-16 |
Provider Mailing Address Detail
| Address | 25 N Winfield Rd Ste 424 |
|---|---|
| City | Winfield |
| State | Illinois (IL) |
| Post Code | 601901379 |
| Phone Number | 6309334056 |
| Fax Number | 6309334057 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 85002532 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the Christian E Villadolid's unique identification number?
The Christian E Villadolid has been assigned the NPI (National Provider Identifier) Number 1013133685 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Christian E Villadolid's physical address?
The Christian E Villadolid is physically located at 25 N Winfield Rd Ste 424, in the city of Winfield, IL, with the postal code 601901379.
What is the Christian E Villadolid's specialty and taxonomy code?
The Christian E Villadolid's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did Christian E Villadolid receive its 1013133685 assignment from the Centers for Medicare & Medicaid Services?
The Christian E Villadolid was assigned its 1013133685 on 2007-04-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Christian E Villadolid, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Christian E Villadolid, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-09-16.