Village at Home of Chicago

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VILLAGE AT HOME OF CHICAGO

Practice address

125 S Clark St Ste 900
Chicago, IL 60603-4043

Phone

(412) 926-2434

NPI assigned

Mar 4, 2019

Organization subpart

No

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

Authorized official

Name

Wendy Rubas, JD

Title

General Counsel

Phone

(312) 465-7898

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551830400000",
    "number": "1912465469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S CLARK ST STE 900",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606034043",
            "telephone_number": "412-926-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S CLARK ST STE 900",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606034043",
            "telephone_number": "412-926-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE AT HOME OF CHICAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-06",
        "status": "A",
        "authorized_official_last_name": "RUBAS",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "312-465-7898",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mirasol D Villaflor, M.D.
• Adriana M Villafuerte
• Julio Villafuerte, PHARM.D.
• Zitlaly Villafuerte
• Village & Vine Wellness
• Village Dentistry LLC
• Village Doctor, LTD
• Village Eye Care LTD
• Village Eye Care LTD
• Village Eye LTD

• 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 Mar 6, 2019; 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.