Villamonte, Mamerto S
Villamonte, Mamerto S is an sole proprietor health care provider with primary practice located at 7234 W North Ave Suite 209, Elmwood Park IL 60707-4239. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Villamonte, Mamerto S can be contacted via phone (708) 583-1557.Contact Information
Primary practice address
7234 W North Ave Suite 209
Elmwood Park IL 60707-4239
Phone: (708) 583-1557
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | Illinois |
Profile Details
| NPI number | 1376532119 |
|---|---|
| LBN Legal business name | Villamonte, Mamerto S |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Aug 18th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376532119 | NPPES |
| Illinois | MEDICAID | 1004705 |
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