Provider Demographics
NPI:1801054358
Name:VALCARCEL, MARIA REGINA (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:REGINA
Last Name:VALCARCEL
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:ENCARNACION R
Other - Last Name:VALCARCEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:120 W 22ND ST STE 200
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1563
Mailing Address - Country:US
Mailing Address - Phone:630-573-5000
Mailing Address - Fax:
Practice Address - Street 1:7836 W JEFFERSON BLVD STE 101
Practice Address - Street 2:NEPHROLOGY ASSOCIATES OF NORTHERN INDIANA
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46804-4178
Practice Address - Country:US
Practice Address - Phone:260-494-3484
Practice Address - Fax:260-969-0188
Is Sole Proprietor?:No
Enumeration Date:2008-05-30
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.099967207RN0300X
IN01066344A207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
INM400070291Medicare PIN