Individual
MRS. MARLYN VALENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1710 N RANDALL RD, SUITE 200, ELGIN, IL 60123-4717
(847) 214-5760
(847) 214-5777
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036093509
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036093509
—
IL
01
—
04532170
BLUE CROSS BLUE SHIELD
IL
01
—
DB0387
RAILROAD MEDICARE GROUP
IL
Enumeration date
07/12/2005
Last updated
05/12/2022
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