Provider Demographics
NPI:1801868716
Name:MARTINI, VALERIE W (AUD)
Entity type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:W
Last Name:MARTINI
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:FITCH
Other - Last Name:MARTINI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:2350 ROYAL BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-4727
Mailing Address - Country:US
Mailing Address - Phone:847-697-3800
Mailing Address - Fax:847-697-3804
Practice Address - Street 1:2350 ROYAL BLVD STE 500
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-4727
Practice Address - Country:US
Practice Address - Phone:847-697-3800
Practice Address - Fax:847-697-3804
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-03
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147-000119231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL$$$$$$$$$001Medicaid
IL$$$$$$$$$001Medicaid