Provider Demographics
NPI:1942259940
Name:VILBAR, REMEGIO M (MD)
Entity Type:Individual
Prefix:
First Name:REMEGIO
Middle Name:M
Last Name:VILBAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:REMEGIO
Other - Middle Name:M
Other - Last Name:VILBAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1431 WESTERN AVE
Mailing Address - Street 2:STE 202
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622
Mailing Address - Country:US
Mailing Address - Phone:773-489-6605
Mailing Address - Fax:630-585-6331
Practice Address - Street 1:1431 WESTERN AVE
Practice Address - Street 2:STE 202
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-1727
Practice Address - Country:US
Practice Address - Phone:773-489-6605
Practice Address - Fax:630-585-6331
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology