Active NPI
Milagros Villalobos MD SC
- Family Medicine Physician
- Chicago, IL
National Provider Identifier
1962511022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MILAGROS VILLALOBOS MD SC
- Practice address
- 2540 W Division St
Chicago, IL 60622-2806 - Phone
- (773) 489-5440
- Fax
- (773) 489-5460
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Milagros Villalobos, MD
- Title
- Director
- Phone
- (773) 489-5440
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | IL | Primary |
Addresses
Primary practice location
2540 W Division St
Chicago, IL 60622-2806
Mailing address
2540 W Division St
Chicago, IL 60622-2806
Phone (773) 489-5440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1636530 | Other | IL | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
2540 W Division St
Chicago, IL 60622
Phone (773) 489-5440
3248 W North Ave
Chicago, IL 60647
Phone (773) 489-5440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1962511022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2540 W DIVISION ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606222806",
"telephone_number": "773-489-5440",
"fax_number": "773-489-5460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2540 W DIVISION ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606222806",
"telephone_number": "773-489-5440",
"fax_number": "773-489-5460"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILAGROS VILLALOBOS MD SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "VILLALOBOS",
"authorized_official_first_name": "MILAGROS",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "773-489-5440",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1636530",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.