Individual
ELISA VALLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP APRN
Contact information
Practice address
1675 DEMPSTER ST FL 1, PARK RIDGE, IL 60068-1110
(847) 318-9300
(847) 723-9583
Mailing address
2154 W OHIO ST APT 3E, CHICAGO, IL 60612-5472
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209026245
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427146430
NPI
IL
Enumeration date
11/02/2022
Last updated
03/05/2025
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