Provider Demographics
NPI:1407658503
Name:VILLALOBOS, MARITE M
Entity type:Individual
Prefix:
First Name:MARITE
Middle Name:M
Last Name:VILLALOBOS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1379 TAYLOR RD
Mailing Address - Street 2:
Mailing Address - City:ROMEOVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60446-4266
Mailing Address - Country:US
Mailing Address - Phone:630-842-4907
Mailing Address - Fax:
Practice Address - Street 1:16555 WEBER RD
Practice Address - Street 2:
Practice Address - City:CREST HILL
Practice Address - State:IL
Practice Address - Zip Code:60403-8719
Practice Address - Country:US
Practice Address - Phone:815-221-6100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical