TERESITA AVILA M.D. – NPI #1386649317
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

TERESITA AVILA is a specialist located in DOWNERS GROVE, IL. NPPES has assigned the NPI number 1386649317 to TERESITA AVILA on June 16, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 174400000X from the Health Care Provider Taxonomy code set, which is classified as Specialist.

The NPI profile was previously updated about 13 years ago on Jan 31, 2013. See the complete NPI profile for TERESITA AVILA below.

NPI Profile for
TERESITA AVILA

NPI Number
1386649317
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
TERESITA AVILA
Credentials
M.D.
Primary location
3825 HIGHLAND AVE
STE 2F
DOWNERS GROVE, IL 60515-1548
Phone: (630) 852-3762 Fax: (630) 829-6818
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for TERESITA AVILA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIL036045193
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
174400000X
- Specialist (Primary)
IL 036045193

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.