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NPI Code Detail

MEDICARE: RAINN VILLALPANDO

MEDICARE:   RAINN  VILLALPANDO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1053078188
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAINN VILLALPANDO
Provider Business Mailing Address
First Line : 1461 S BLUE ISLAND AVE APT 425
Second Line :
City : CHICAGO
State : IL
Zip : 60608-2283
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1461 S BLUE ISLAND AVE APT 425
Second Line :
City : CHICAGO
State : IL
Zip : 60608-2283
Country : US
Telephone Number : 773-255-4454
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/23/2021
Last Update Date : 11/23/2021

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Directions to “ RAINN VILLALPANDO ” Practice Location

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