Individual
DR. VALERIE LANIOSZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PHD
Contact information
Practice address
8110 S CASS AVENUE, DARIEN, IL 60561
(630) 920-1900
(630) 920-1901
Mailing address
745 S PARK AVENUE, HINSDALE, IL 60521
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036.139570
IL
207N00000X
Dermatology Physician
106244
MN
207N00000X
Dermatology Physician
4301111148
MI
207N00000X
Dermatology Physician
55690
MN
207R00000X
Internal Medicine Physician
125.059193
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
03/28/2011
Last updated
09/21/2018
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