Provider Demographics
NPI:1780031674
Name:VALERIE AUREL
Entity Type:Organization
Organization Name:VALERIE AUREL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADVANCED PRACTICE NURSE
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:AUREL
Authorized Official - Suffix:
Authorized Official - Credentials:MSN,APN, FNP-C
Authorized Official - Phone:773-391-2182
Mailing Address - Street 1:20825 CORINTH RD
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA FIELDS
Mailing Address - State:IL
Mailing Address - Zip Code:60461-1836
Mailing Address - Country:US
Mailing Address - Phone:773-391-2182
Mailing Address - Fax:
Practice Address - Street 1:20825 CORINTH RD
Practice Address - Street 2:
Practice Address - City:OLYMPIA FIELDS
Practice Address - State:IL
Practice Address - Zip Code:60461-1836
Practice Address - Country:US
Practice Address - Phone:773-391-2182
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-20
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209014166251E00000X, 261QH0100X, 261QP2300X
IL209014166;261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No251E00000XAgenciesHome Health
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service