Individual provider · Type 1 NPI

Richard John Abais Villaceran

Family Nurse Practitioner · Wauconda, IL

NPI number 1245649862 Active

Practice location

431 W Liberty St
Wauconda, IL 60084-2452

Mailing address

6 Haddon Ct
Lake In The Hills, IL 60156

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209.011672 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1245649862

Richard John Abais Villaceran's National Provider Identifier is 1245649862, issued on Aug 7, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Wauconda, IL. The record was last updated on Aug 7, 2014.