Edward Charles Villa (NPI# 1639435209, PAC ID# 6507177961) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1639435209 |
| PAC ID by PECOS | 6507177961 |
| Professional Enrollment ID | I20150625002444 |
| Full Name | Edward Charles Villa |
| Organization Legal Name | THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS |
| Address |
840 S Wood St Uic Model Clinics Chicago IL 60612-4325 |
| Phone Number | 3129961237 |
| Gender | M |
| Medical School | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 3072422716 |
| Number of Group Practice Members | 792 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140150 | UNIVERSITY OF ILLINOIS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 840 S Wood St, Uic Model Clinics, Chicago, IL 60612-4325 | 3129961237 | THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS |
| Organization Legal Name | THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS |
| Physicians | 919 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Karam | Orthopedic Surgery | The Board of Trustees of The University of Illinois | 835 S Wolcott Ave Mc, 844 Uic Orthopedics Sports Medicine, Chicago, IL 60612-3748 |
| Adam Kosloff | Internal Medicine | The Board of Trustees of The University of Illinois | 840 S Wood St Mc, 787 Uic Medicine, Chicago, IL 60612-4325 |
| Claire Thesing | Family Medicine | The Board of Trustees of The University of Illinois | 1919 W Taylor St, Suite 663, Chicago, IL 60612-7246 |
| Nicholas F Callahan | Maxillofacial Surgery | The Board of Trustees of The University of Illinois | 801 S Paulina St, Chicago, IL 60612-7210 |
| Ayman Al-hendy | Obstetrics/gynecology | The Board of Trustees of The University of Illinois | 820 S Wood St Mc, 808 Uic Obstetrics and Gynecology, Chicago, IL 60612-4325 |
| Mario Spaggiari | General Surgery | The Board of Trustees of The University of Illinois | 840 S Wood St, Uic Model Clinics, Chicago, IL 60612-4325 |
| Rayan A Elkattah | Obstetrics/gynecology | The Board of Trustees of The University of Illinois | 1 Illini Dr, Peoria, IL 61605-2576 |
| Jennifer Dugal | Nurse Practitioner | The Board of Trustees of The University of Illinois | 808 S Wood St Mc, 624 Uic Dermatology, Chicago, IL 60612-7300 |
| Katherine E Cappitelli | Nurse Practitioner | The Board of Trustees of The University of Illinois | 808 S Wood St, 722 Uic Emergency Medicine, Chicago, IL 60612-7300 |
| Robison Chan | Ophthalmology | The Board of Trustees of The University of Illinois | 1855 W Taylor St, Mc648, Chicago, IL 60612-7242 |
| Street Address |
840 S WOOD ST UIC MODEL CLINICS |
| City | CHICAGO |
| State | IL |
| Zip | 60612-4325 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mario Spaggiari | General Surgery | The Board of Trustees of The University of Illinois | 840 S Wood St, Uic Model Clinics, Chicago, IL 60612-4325 |
| Michael Charles | Internal Medicine | The Board of Trustees of The University of Illinois | 840 S Wood St, 856 Uic Pediatrics, Chicago, IL 60612-4325 |
| Russell D Brown | Gastroenterology | The Board of Trustees of The University of Illinois | 840 S Wood St, Uic Model Clinics, Chicago, IL 60612-4325 |
| Elliott Groves | Cardiovascular Disease (cardiology) | The Board of Trustees of The University of Illinois | 840 S Wood St, Uic Model Clinics, Chicago, IL 60612-4325 |
| Sonia Marie Krishnan | Pediatric Medicine | The Board of Trustees of The University of Illinois | 840 S Wood St, 856 Uic Pediatrics, Chicago, IL 60612-4325 |
| Saul J Weiner | Internal Medicine | The Board of Trustees of The University of Illinois | 840 S Wood St, 856 Uic Pediatrics, Chicago, IL 60612-4325 |
| Urszula Wysocka Piesiewicz | Nurse Practitioner | The Board of Trustees of The University of Illinois | 840 S Wood St, Uic Model Clinics, Chicago, IL 60612-4325 |
| Susan J Corbridge | Nurse Practitioner | The Board of Trustees of The University of Illinois | 840 S Wood St, Uic Model Clinics, Chicago, IL 60612-4325 |
| Cemal Yazici | Gastroenterology | The Board of Trustees of The University of Illinois | 840 S Wood St, Uic Model Clinics, Chicago, IL 60612-4325 |
| Michael David Han | Oral Surgery | The Board of Trustees of The University of Illinois | 840 S Wood St, Uic Model Clinics, Chicago, IL 60612-4325 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie A Carbray | Nurse Practitioner | The Board of Trustees of The University of Illinois | 1747 W Roosevelt Rd, Chicago, IL 60612-1264 |
| Keith A La Vallee | Optometry | 2111 W Superior St, Chicago, IL 60612-1315 | |
| Ricky Johnson | Internal Medicine | 3169 W Madison St, Chicago, IL 60612-1809 | |
| Valerie L Wezran | Nurse Practitioner | Access Community Health Network | 2409 W Warren Blvd, Chicago, IL 60612-2115 |
| Shay L Ward | Nurse Practitioner | Housecall Physicians of Illinois Sc | 2003 W Fulton St, Suite 303, Chicago, IL 60612-2345 |
| Angie Wang | Registered Dietitian Or Nutrition Professional | Dietitians At Home Inc | 2003 W Fulton St, Suite 105, Chicago, IL 60612-2345 |
| Amanda Christine Harrington | Registered Dietitian Or Nutrition Professional | Dietitians At Home Inc | 2003 W Fulton St, Suite 105, Chicago, IL 60612-2345 |
| Rena Chaya Schwartz | Nurse Practitioner | Housecall Physicians of Illinois Sc | 2003 W Fulton St, Suite 303, Chicago, IL 60612-2345 |
| Alexia Boima Caulker | Registered Dietitian Or Nutrition Professional | Dietitians At Home Inc | 2003 W Fulton St, Suite 105, Chicago, IL 60612-2345 |
| Brian S Boe | Internal Medicine | Housecall Physicians of Illinois Sc | 2003 W Fulton St, Suite 303, Chicago, IL 60612-2345 |
| Find all physicians in zip 60612 | |||
| City | CHICAGO |
| Zip Code | 60612 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | CHICAGO + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Edward Charles Villa.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.