Provider Demographics
NPI:1114180007
Name:VOSS, VALERIE L (MD)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:L
Last Name:VOSS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:VALERIE
Other - Middle Name:L
Other - Last Name:VOSS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:823 N 129TH INFANTRY DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-8346
Mailing Address - Country:US
Mailing Address - Phone:815-582-3538
Mailing Address - Fax:815-714-2042
Practice Address - Street 1:823 N 129TH INFANTRY DR
Practice Address - Street 2:SUITE 105
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-8346
Practice Address - Country:US
Practice Address - Phone:815-582-3538
Practice Address - Fax:815-714-2042
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036124730207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine