Provider Demographics
NPI:1144360777
Name:VILLALOBOS, FRANCISCO (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:
Last Name:VILLALOBOS
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7777 W 159TH ST STE D
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477-1391
Mailing Address - Country:US
Mailing Address - Phone:708-429-2120
Mailing Address - Fax:708-429-5683
Practice Address - Street 1:7777 W 159TH ST STE D
Practice Address - Street 2:
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60477-1391
Practice Address - Country:US
Practice Address - Phone:708-429-2120
Practice Address - Fax:708-429-5683
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI54331223X0400X
IL0190257801223X0400X
IL0210021191223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics