Provider Demographics
NPI:1922036441
Name:VALINO STOCK, SANDRA MADRID (DO)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:MADRID
Last Name:VALINO STOCK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:SANDRA
Other - Middle Name:VALINO
Other - Last Name:DOYLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1701 E WOODFIELD RD STE 215
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-5127
Mailing Address - Country:US
Mailing Address - Phone:847-916-0673
Mailing Address - Fax:847-787-9084
Practice Address - Street 1:1701 E WOODFIELD RD STE 215
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-5127
Practice Address - Country:US
Practice Address - Phone:847-916-0673
Practice Address - Fax:847-787-9084
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-116117207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine