IndividualActive
Amy Villarreal
NPI 1487859054 · Contractor · Pingree Grove, IL
Provider details
- NPI number
- 1487859054
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- A4554V (IL)
Specialties & taxonomies
Other Service Providers
Practice location
1122 Port Royal Rd
Pingree Grove, IL 60140
Phone: (224) 639-5018
Approximate (ZIP-level) locationGet directions
Mailing address
1122 Port Royal Rd
Pingree Grove, IL 60140-9196
Registry dates
- Enumerated
- 2007-06-15
- Last updated
- 2026-01-08
- Certified
- 2026-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.