| Villa Medical Arts | |
|
33 S. Villa Ave. Suite 2 Villa Park IL 60181 | |
| (630) 832-9000 | |
| (630) 832-7907 |
| Full Name | Villa Medical Arts |
|---|---|
| Speciality | Internal Medicine |
| Location | 33 S. Villa Ave., Villa Park, Illinois |
| Authorized Official Name and Position | Deepa Fulton (PRACTICE MANAGER) |
| Authorized Official Contact | 6308329000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Villa Medical Arts 33 S. Villa Ave. Suite 2 Villa Park IL 60181 Ph: (630) 832-9000 | Villa Medical Arts 33 S. Villa Ave. Suite 2 Villa Park IL 60181 Ph: (630) 832-9000 |
| NPI Number | 1124058029 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 03/23/2022 |
| Medicare PECOS PAC ID | 9032151329 |
|---|---|
| Medicare Enrollment ID | O20050526000365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124058029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Eyad Homedi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427034073 PECOS PAC ID: 2961464045 Enrollment ID: I20041104001152 |
| Provider Name | Anthony Lin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548258197 PECOS PAC ID: 6406898790 Enrollment ID: I20100217000805 |
| Provider Name | Inna Milgram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932197597 PECOS PAC ID: 0345282638 Enrollment ID: I20100225000874 |
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