Healthcare Provider Details

I. General information

NPI: 1235041195
Provider Name (Legal Business Name): STEPHEN MARCUS VILLA GUILAS PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 WILMOT RD
DEERFIELD IL
60015-5145
US

IV. Provider business mailing address

108 WILMOT RD
DEERFIELD IL
60015-5145
US

V. Phone/Fax

Practice location:
  • Phone: 847-315-2500
  • Fax:
Mailing address:
  • Phone: 847-315-2500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051309410
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: