Provider Demographics
NPI:1780023721
Name:DEHGHAN-BERNABE, VALENTINA (MD)
Entity Type:Individual
Prefix:DR
First Name:VALENTINA
Middle Name:
Last Name:DEHGHAN-BERNABE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:VALENTINA
Other - Middle Name:
Other - Last Name:DEHGHAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1500 WAUKEGAN ROAD
Mailing Address - Street 2:#213
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025
Mailing Address - Country:US
Mailing Address - Phone:847-998-5556
Mailing Address - Fax:
Practice Address - Street 1:1500 WAUKEGAN RD STE 213
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60025-2165
Practice Address - Country:US
Practice Address - Phone:847-998-5556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1250638482084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry