Provider Demographics
NPI:1013315480
Name:THE VALENS GROUP
Entity Type:Organization
Organization Name:THE VALENS GROUP
Other - Org Name:VALENS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRYCJA
Authorized Official - Middle Name:
Authorized Official - Last Name:SUDOL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-377-5492
Mailing Address - Street 1:3320 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60131-1514
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3320 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN PARK
Practice Address - State:IL
Practice Address - Zip Code:60131-1514
Practice Address - Country:US
Practice Address - Phone:773-377-5492
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-16
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency