Provider Demographics
NPI:1801949409
Name:VALEROSO, AIMEELEE BANEA (MD)
Entity type:Individual
Prefix:DR
First Name:AIMEELEE
Middle Name:BANEA
Last Name:VALEROSO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AIMEELEE
Other - Middle Name:VALEROSO
Other - Last Name:PHAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:455 S ROSELLE RD STE 121
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60193-2966
Mailing Address - Country:US
Mailing Address - Phone:630-671-4980
Mailing Address - Fax:630-671-4989
Practice Address - Street 1:455 S ROSELLE RD STE 121
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60193-2966
Practice Address - Country:US
Practice Address - Phone:630-671-4980
Practice Address - Fax:630-671-4989
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036116855207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine