Individual
MRS. VALERIA CLAUDIA BENAVIDES LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 624-3313
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 624-3313
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
036128563
IL
Other
Enumeration date
05/08/2008
Last updated
07/31/2011
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