Individual
LAINIE VALLERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 N WINFIELD RD, WINFIELD, IL 60190-1222
(630) 933-4116
Mailing address
6719 BAZZ DR, PLAINFIELD, IL 60586-7257
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
041.334816
IL
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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