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Individual

PROF. JUANITA VALVERDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4849 W FULLERTON AVE, CHICAGO, IL 60639-2503
(773) 309-6740
(773) 237-6606
Mailing address
2525 N FRANCISCO AVE, CHICAGO, IL 60647-2611
(773) 309-6740
(773) 237-6606

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-074259
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036074259
IL
Enumeration date
09/23/2008
Last updated
02/08/2023
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