Provider Demographics
NPI:1720046618
Name:HEIDENRY, VALERIE ARANGO (MD)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:ARANGO
Last Name:HEIDENRY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 WATERFORD DR
Mailing Address - Street 2:LOWER LEVEL
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-5502
Mailing Address - Country:US
Mailing Address - Phone:630-851-1206
Mailing Address - Fax:
Practice Address - Street 1:2020 OGDEN AVE
Practice Address - Street 2:STE 140
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-5894
Practice Address - Country:US
Practice Address - Phone:630-851-1144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2009-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-109638207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036109638Medicaid
380970Medicare PIN
ILI38892Medicare UPIN