Individual
MS. IZABELA MARIA DALLA VALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 MERCY DR, MCHENRY, IL 60050-3151
(815) 363-9900
Mailing address
3901 MERCY DR, MCHENRY, IL 60050-3151
(815) 363-9900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.009571
IL
Other
Enumeration date
05/31/2012
Last updated
11/10/2014
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