Individual
ELIZABETH SHAY VALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-6129
Mailing address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-6129
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036146050
IL
Other
Enumeration date
04/24/2014
Last updated
07/22/2022
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