Individual
ALFONSO VALDIVIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4353 RUDYARD KIPLING RD, ELGIN, IL 60124-8643
(847) 980-7257
Mailing address
4353 RUDYARD KIPLING RD, ELGIN, IL 60124-8643
(847) 980-7257
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IL
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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