Villarroel Fernandez, Omar Mijael

Villarroel Fernandez, Omar Mijael is an sole proprietor health care provider with primary practice located at 1401 E State St 3Rd Floor, Rockford IL 61104-2315. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Villarroel Fernandez, Omar Mijael can be contacted via phone (912) 658-1155.

Contact Information

Primary practice address
1401 E State St 3Rd Floor Rockford IL 61104-2315
Phone: (912) 658-1155
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 058592 Georgia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036117065 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X M-16558 Idaho
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2018018492 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2008-01887 North Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD2005-0619 New Mexico
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 058592 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036117065 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2018018492 Missouri

Profile Details

NPI number 1457325334
LBN Legal business name Villarroel Fernandez, Omar Mijael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2006
Last updated Aug 11th, 2022 - about 4 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.

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