Goldfain, Valerie Marie

Goldfain, Valerie Marie is an individual health care provider with primary practice located at 375 N Wall St Ste P410, Kankakee IL 60901-3483. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Goldfain, Valerie Marie can be contacted via phone (815) 932-7474.

Contact Information

Primary practice address
375 N Wall St Ste P410 Kankakee IL 60901-3483
Fax: (815) 937-8206
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036097311 Illinois

Profile Details

NPI number 1619962941
LBN Legal business name Goldfain, Valerie Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Sep 28th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619962941 NPPES
Illinois MEDICAID 036097311

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