Valena, Marlyn

Valena, Marlyn is an individual health care provider with primary practice located at 1710 N Randall Rd Suite 200, Elgin IL 60123-4717. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Valena, Marlyn can be contacted via phone (847) 214-5760.

Contact Information

Primary practice address
1710 N Randall Rd Suite 200 Elgin IL 60123-4717
Fax: (847) 214-5777
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036093509 Illinois

Profile Details

NPI number 1033117213
LBN Legal business name Valena, Marlyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated May 12th, 2022 - about 3 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 1033117213 NPPES
Illinois Other 04532170 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 036093509 BLUE CROSS BLUE SHIELD
Illinois Other DB0387 BLUE CROSS BLUE SHIELD

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