Jerry Villasenor Jr.


Address: 1639 Oak Park Ave, Suite 1, Berwyn, IL 60402-1782

Jerry Villasenor Jr. (NPI# 1831107135, PAC ID# 8224052402) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1831107135
PAC ID by PECOS 8224052402
Professional Enrollment ID I20060116000379
Full Name Jerry Villasenor Jr.
Address 1639 Oak Park Ave
Suite 1
Berwyn
IL 60402-1782
Gender M
Credential MD
Medical School UNIVERSITY OF HEALTH SCIENCES/CHICAGO MEDICAL SCHOOL
Graduation Year 2004
Primary Specialty FAMILY MEDICINE
Accepts Medicare Assignment M

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140114 SWEDISH COVENANT HOSPITAL

Other Locations

Address Phone Organization
1639 Oak Park Ave, Suite 1, Berwyn, IL 60402-1782

Organization Information

Office Location

Street Address 1639 OAK PARK AVE
SUITE 1
City BERWYN
State IL
Zip 60402-1782

Physicians in the same zip code

Name Specialty Organization Address
Elizabeth A Dowell Family Medicine Pcc Community Wellness Center 6201 Roosevelt Rd, Berwyn, IL 60402-1108
Katherine Herold Certified Nurse Midwife (cnm) Pcc Community Wellness Center 6201 Roosevelt Rd, Berwyn, IL 60402-1108
Christine Elaine Schultheiss Family Medicine Pcc Community Wellness Center 6201 Roosevelt Rd, Berwyn, IL 60402-1108
Erika Montoya Family Medicine Pcc Community Wellness Center 6201 Roosevelt Rd, Berwyn, IL 60402-1108
Katherine M Wehrmann Certified Nurse Midwife (cnm) Pcc Community Wellness Center 6201 Roosevelt Rd, Berwyn, IL 60402-1108
Rebecca C Dehoek Family Medicine Pcc Community Wellness Center 6201 Roosevelt Rd, Berwyn, IL 60402-1108
Moshini Sivasubramaniam Family Medicine Pcc Community Wellness Center 6201 Roosevelt Rd, Berwyn, IL 60402-1108
Brian Kroener Family Practice Pcc Community Wellness Center 6201 Roosevelt Rd, Berwyn, IL 60402-1108
Ellen B Barton Nurse Practitioner Pcc Community Wellness Center 6201 Roosevelt Rd, Berwyn, IL 60402-1108
Charles T Yingling Nurse Practitioner Pcc Community Wellness Center 6201 Roosevelt Rd, Berwyn, IL 60402-1108
Find all physicians in zip 60402

Competitor

Search similar physicians

City BERWYN
Zip Code 60402
Specialty FAMILY MEDICINE
City + Specialty BERWYN + FAMILY MEDICINE

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Dataset Information

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.

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