Provider Demographics
NPI:1437024676
Name:VIRELLA, HIPOLITO III
Entity type:Individual
Prefix:MR
First Name:HIPOLITO
Middle Name:
Last Name:VIRELLA
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 2ND AVE APT 312B
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60505-4561
Mailing Address - Country:US
Mailing Address - Phone:312-783-6922
Mailing Address - Fax:
Practice Address - Street 1:1215 2ND AVE APT 312B
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60505-4561
Practice Address - Country:US
Practice Address - Phone:312-783-6922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL343800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)