Provider Demographics
NPI:1841871209
Name:IMBER, VALERIE LYN (APN)
Entity type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:LYN
Last Name:IMBER
Suffix:
Gender:F
Credentials:APN
Other - Prefix:MS
Other - First Name:VALERIE
Other - Middle Name:LYN
Other - Last Name:ARMBRUSTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:480 EAST ROOSEVELT ROAD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:WEST CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60185-3969
Mailing Address - Country:US
Mailing Address - Phone:630-492-1965
Mailing Address - Fax:630-492-0933
Practice Address - Street 1:1890 SILVER CROSS BLVD STE 520
Practice Address - Street 2:
Practice Address - City:NEW LENOX
Practice Address - State:IL
Practice Address - Zip Code:60451-9575
Practice Address - Country:US
Practice Address - Phone:815-979-5033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-17
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209023179363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner