Individual
JOSEPH A. VALAITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2350 N ROCKTON AVE, ROCKFORD, IL 61103-3600
(815) 971-2000
(815) 971-9795
Mailing address
2350 N ROCKTON AVE, ROCKFORD, IL 61103-3600
(815) 971-2000
(815) 971-9795
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036042619
IL
207RC0000X
Cardiovascular Disease Physician
036042619
IL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
036042619
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036042619
—
IL
Enumeration date
08/30/2006
Last updated
02/07/2013
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