Provider Demographics
NPI:1417919598
Name:VILLAGELIU, MAUREEN ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:ANN
Last Name:VILLAGELIU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:104 MACKINAW CT
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60565-6345
Mailing Address - Country:US
Mailing Address - Phone:630-369-9340
Mailing Address - Fax:630-548-1646
Practice Address - Street 1:1819 BAY SCOTT CIR
Practice Address - Street 2:SUITE # 105
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-1129
Practice Address - Country:US
Practice Address - Phone:630-548-5437
Practice Address - Fax:630-548-1646
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics