Individual
FREDY DAVID VALERO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4700 S CALIFORNIA AVE, CHICAGO, IL 60632-2016
(773) 584-6200
(844) 285-1003
Mailing address
2001 S CALIFORNIA AVE STE 100, CHICAGO, IL 60608-2486
(773) 584-6200
(844) 285-1003
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036151660
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036151660
—
IL
Enumeration date
07/08/2017
Last updated
06/24/2021
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