MEDICARE: MR. FELIPE VILLARREAL JR.

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
1	171R00000X	Interpreter

General Provider Information

NPI Number	:	1437304912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. FELIPE VILLARREAL JR.

Provider Business Mailing Address
First Line	:	1122 PORT ROYAL RD
Second Line	:
City	:	PINGREE GROVE
State	:	IL
Zip	:	60140-9196
Country	:	US
Telephone Number	:	224-558-4971
Fax Number	:	847-453-7641

Provider Business Practice Location Address
First Line	:	1122 PORT ROYAL RD
Second Line	:
City	:	PINGREE GROVE
State	:	IL
Zip	:	60140
Country	:	US
Telephone Number	:	224-558-4971
Fax Number	:	847-453-7641

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/25/2008
Last Update Date	:	11/25/2008

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