Individual
DR. DIEGO ALFONSO VALENZUELA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5841 S. MARYLAND AVE., M/C 5100, CHICAGO, IL 60637-1443
(773) 702-3630
(773) 753-8301
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1609526987
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036.175197
IL
207RN0300X
Nephrology Physician
Primary
036.175197
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2022
Last updated
06/02/2025
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