| Doctor Name: | ALBERT T. WILLARDO |
| NPI Number: | 1720195225 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 01020554 |
| Business Practice Address: | 7150 Indianapolis Blvd Hammond, IN - 463242245 |
| Business Phone Number: | 2198452030 |
| Business Fax Number: | 2197386716 |
| Mailing Address: | 55 E 86th Ave, Po Box 10645 MERRILLVILLE |
| State: | IN |
| Postal Code: | 464106382 |
| Phone Number: | 2197691670 |
| Fax Number: | 2197386714 |
| NPI Enumeration Date: | 08/23/2006 |
| NPI Last Update Date: | 02/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 01020554 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |