Doctor Name: | CHRISTIAN Q VILLASENOR |
NPI Number: | 1194775957 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CRNA |
License Number: | 99015186A |
Business Practice Address: | 20201 S Crawford Avenue Olympia Fields, IL - 604611010 |
Business Phone Number: | 7083261637 |
Business Fax Number: | 7083261671 |
Mailing Address: | 35777 Eagle Way, CHICAGO |
State: | IL |
Postal Code: | 606781357 |
Phone Number: | 7085031637 |
Fax Number: | 7083261671 |
NPI Enumeration Date: | 05/11/2006 |
NPI Last Update Date: | 11/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 99015186A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |