Provider Demographics
NPI:1053500355
Name:VALIN, DOROTHY ANN (APRN, CNS BC, PHD)
Entity Type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:ANN
Last Name:VALIN
Suffix:
Gender:F
Credentials:APRN, CNS BC, PHD
Other - Prefix:MS
Other - First Name:DOROTHY
Other - Middle Name:VALIN
Other - Last Name:OSGOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, CNS BC
Mailing Address - Street 1:446 E ONTARIO ST
Mailing Address - Street 2:NORTHWESTERN MEMORIAL HOSPITAL, SUITE 7-248
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-4418
Mailing Address - Country:US
Mailing Address - Phone:312-926-3909
Mailing Address - Fax:312-926-4840
Practice Address - Street 1:446 E ONTARIO ST
Practice Address - Street 2:NORTHWESTERN MEMORIAL HOSPITAL, SUITE 7-248
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611
Practice Address - Country:US
Practice Address - Phone:312-926-3909
Practice Address - Fax:312-926-4840
Is Sole Proprietor?:No
Enumeration Date:2007-10-23
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041-281367163W00000X
IL209.004105364SP0809X
IL209-004105163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
No163W00000XNursing Service ProvidersRegistered Nurse
No364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL209-004105OtherAPRN CNS