NPIMap

Organization Active NPI

Maureen Ann Villageliu Naperville South Pediatrics

  • Pediatrics Physician
  • Naperville, IL
National Provider Identifier
1720039191
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036-077359 Issued in IL
Legal business name
MAUREEN ANN VILLAGELIU NAPERVILLE SOUTH PEDIATRICS
Practice address
1819 Bay Scott Circle
Suite 105
Naperville, IL 60540-1102
Phone
(630) 548-5437
Fax
(630) 584-1646
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Maureen Ann Villageliu, M.D.NPI 1417919598
Title
Managing Member / Owner
Phone
(630) 548-5437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 036-077359 IL Primary

Addresses

Primary practice location

1819 Bay Scott Circle
Suite 105
Naperville, IL 60540-1102

Mailing address

1819 Bay Scott Circle
Suite 105
Naperville, IL 60540-1102
Phone (630) 548-5437

National Provider Directory

National Provider Directory

Locations

1819 Bay Scott Cir
Ste 105
Naperville, IL 60540
Phone (630) 548-5437

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1720039191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 BAY SCOTT CIRCLE",
            "address_2": "SUITE 105",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605401102",
            "telephone_number": "630-548-5437",
            "fax_number": "630-548-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 BAY SCOTT CIRCLE",
            "address_2": "SUITE 105",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605401102",
            "telephone_number": "630-548-5437",
            "fax_number": "630-584-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUREEN ANN VILLAGELIU NAPERVILLE SOUTH PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "VILLAGELIU",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGING MEMBER / OWNER",
        "authorized_official_telephone_number": "630-548-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-077359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.