Individual
JOSHUA VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 W KENWOOD AVE STE 100, DECATUR, IL 62526-4379
(217) 872-3811
(217) 872-0849
Mailing address
3976 N WATER ST, DECATUR, IL 62526-1855
(630) 696-1018
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125.080959
IL
207R00000X
Internal Medicine Physician
125.080959
IL
Other
Enumeration date
06/22/2022
Last updated
07/06/2023
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