Jerry Villasenor Jr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036111596 Issued in IL

Practice address

2300 W Armitage Ave
Chicago, IL 60647-4434

Phone

(708) 359-9244

Fax

(847) 787-5252

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

R Franklin University of Med & Sci/Chicago Medical School, 2004

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Crown Home Health Agency, Inc. Home health agency, Chicago, IL, CCN 147587
• Sunny Hill Home Health Care, Inc Home health agency, Oak Lawn, IL, CCN 148058
• New Haven Home Health Care, Inc Home health agency, Rosemont, IL, CCN 148060
• Destiny Healthcare Services, Inc Home health agency, Westchester, IL, CCN 148341
• Human Touch Home Health, Inc Home health agency, Des Plaines, IL, CCN 147891
• Osf Little Company of Mary Medical Center Hospital, Evergreen Park, IL, CCN 140179
• Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Villasenor in-Home Patient Care LLC

  • Family Medicine Physician
  • Berwyn, IL
  • NPI 1780006619
  Medicare reassignment NPD Authorized official
• Expert Care Group Inc

  • Health Service Clinic/Center
  • Lombard, IL
  • NPI 1992527295
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Central Dupage Hospital Association

  • General Acute Care Hospital
  • Winfield, IL
  • NPI 1003864810
  Care Compare affiliation
• Central Dupage Hospital Association

  • Psychiatric Hospital Unit
  • Winfield, IL
  • NPI 1740230895
  Care Compare affiliation
• Crown Home Health Agency, Inc.

  • Home Health Agency
  • Chicago, IL
  • NPI 1679615405
  Care Compare affiliation
• Destiny Healthcare Services, Inc.

  • Home Health Agency
  • Westchester, IL
  • NPI 1285926949
  Care Compare affiliation
• Human Touch Home Health, Inc.

  • Home Health Agency
  • Des Plaines, IL
  • NPI 1730289406
  Care Compare affiliation
• New Haven Home Health Care, Inc.

  • Home Health Agency
  • Rosemont, IL
  • NPI 1336317197
  Care Compare affiliation
• Osf Healthcare System

  • General Acute Care Hospital
  • Evergreen Park, IL
  • NPI 1215572045
  Care Compare affiliation
• Sunny Hill Home Health Care, Inc.

  • Home Health Agency
  • Oak Lawn, IL
  • NPI 1366651077
  Care Compare affiliation

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1831107135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 W. ARMITAGE AVE.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474424",
            "telephone_number": "708-359-9244",
            "fax_number": "847-787-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W ARMITAGE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474434",
            "telephone_number": "708-359-9244",
            "fax_number": "847-787-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLASENOR",
        "first_name": "JERRY",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036111596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Isabel Villarroel Guevara, MD
• Ines Villarroya Marquina, MD
• Marisol Villasenor-Sanchez, M.ED. , LCPC
• Clara F Villasenor, LCSW
• Gilbert Villasenor, D.D.S.
• Kaitlyn Villasenor, OTR/L
• Kathryn Villasenor, M.S., CCC-SLP
• Maria Soledad Villasenor, MSN, APRN, FNP-C
• Romeo T Villasenor
• Samuel Israel Villasenor

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.