Provider Demographics
NPI:1073620548
Name:VEA, VICTORIA ACIERTO (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:ACIERTO
Last Name:VEA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 W SCHICK RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60108-1243
Mailing Address - Country:US
Mailing Address - Phone:630-244-9554
Mailing Address - Fax:630-351-0776
Practice Address - Street 1:155 W SCHICK RD
Practice Address - Street 2:
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-1243
Practice Address - Country:US
Practice Address - Phone:630-244-9554
Practice Address - Fax:630-351-0776
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036055446208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice