Individual
CISCO VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1845 GRANDSTAND PL, ELGIN, IL 60123-6603
(847) 695-1265
Mailing address
16 W REMINGTON LN APT 307, SCHAUMBURG, IL 60195-3669
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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