JOSUE DAVID VILLACIS

CHICAGO, IL
NPI1386453124
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096004155)
Enumeration Date2025-01-06
Last Update Date2025-01-06
Business Address
JOSUE DAVID VILLACIS
5530 S ELLIS AVE
CHICAGO, IL 60637-1402
Phone number: 773-858-0330
Mailing Address
JOSUE DAVID VILLACIS
5412 N KENMORE AVE APT 1W
CHICAGO, IL 60640-1810
Phone number: 773-858-0330
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