| Fatima Vilich, MD | |
|
12202 Deer Mountain Blvd # 101-1740, Kamas, UT 84036-9353 | |
| (435) 782-9384 | |
| (847) 919-8661 |
| Full Name | Fatima Vilich |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 12202 Deer Mountain Blvd # 101-1740, Kamas, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659341063 | NPI | - | NPPES |
| 36097212 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 10369211205 (Utah) | Primary |
| 207L00000X | Anesthesiology | 36097212 (Illinois) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Fatima Vilich, MD 12202 Deer Mountain Blvd # 101-1740, Kamas, UT 84036-9353 Ph: (435) 782-9384 | Fatima Vilich, MD 12202 Deer Mountain Blvd # 101-1740, Kamas, UT 84036-9353 Ph: (435) 782-9384 |
Mikenzie Hendricks, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 228 W 200 S, Kamas, UT 84036 Phone: 435-783-4385 | |
Troy Evans Johnson, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 228 W 200 S, Kamas, UT 84036 Phone: 435-783-4385 |