Provider Demographics
NPI:1164576047
Name:VALLEE, JOSEPH R (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:R
Last Name:VALLEE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4240 N CLARENDON AVE
Mailing Address - Street 2:APT 215N
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-1548
Mailing Address - Country:US
Mailing Address - Phone:773-860-0102
Mailing Address - Fax:
Practice Address - Street 1:1150 W LUNT AVE STE 2
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60626-3520
Practice Address - Country:US
Practice Address - Phone:773-860-0102
Practice Address - Fax:773-860-0102
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038005779111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor