MEDICARE: ANGEL MEDICAL CENTER LTD

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	207Q00000X	Family Medicine Physician		IL

General Provider Information

NPI Number	:	1720279532
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGEL MEDICAL CENTER LTD

Provider Business Mailing Address
First Line	:	2619 S LAWNDALE AVE
Second Line	:	R SUITE
City	:	CHICAGO
State	:	IL
Zip	:	60623-4520
Country	:	US
Telephone Number	:	773-521-4305
Fax Number	:

Provider Business Practice Location Address
First Line	:	2619 S LAWNDALE AVE
Second Line	:	R SUITE
City	:	CHICAGO
State	:	IL
Zip	:	60623-4520
Country	:	US
Telephone Number	:	773-521-4305
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JUAN CARLOS VILLAMIZAR-ZUNIGA
Credential	:	MD
Telephone Number	:	773-521-4305

Provider Enumeration Date	:	08/06/2007
Last Update Date	:	08/06/2007

Similar Medicare Providers

1598752651 — DR. MICHAEL M MAGHRABI DPM
Practice Location Address:

2623 S LAWNDALE AVE , STE C
CHICAGO, IL
60623-4520

Practice Phone: 773-522-9700
Practice Fax: 773-522-9712

1841369881 — MARIO C. ROSAS M.D.
Practice Location Address:

2619 S LAWNDALE AVE , FRONT
CHICAGO, IL
60623-4520

Practice Phone: 773-522-2620
Practice Fax: 773-522-2641

1356412530 — DR. ROSITA C. JIMENEZ PERIODONTIST
Practice Location Address:

2621 S LAWNDALE AVE , SUITE B
CHICAGO, IL
60623-4520

Practice Phone: 773-762-0200
Practice Fax: 773-762-0201

1366582421 — FARMACIA DE LAWNDALE INC
Practice Location Address:

2621 S LAWNDALE AVE
CHICAGO, IL
60623-4520

Practice Phone: 773-542-9595
Practice Fax: 773-542-9590

1194901280 — MARIO C. ROSAS, M.D., S.C.
Practice Location Address:

2619 S LAWNDALE AVE , FRONT
CHICAGO, IL
60623-4520

Practice Phone: 773-522-2620
Practice Fax: 773-522-2641

1043718190 — DEEN HEALTH SYSTEM LLC
Practice Location Address:

2611 S LAWNDALE AVE
CHICAGO, IL
60623-4520

Practice Phone: 773-521-6666
Practice Fax: 833-404-2600

Directions to “ANGEL MEDICAL CENTER LTD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.