Provider Demographics
NPI:1952311565
Name:KING-ERNST, VALERIE (DO)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:
Last Name:KING-ERNST
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 WARRENVILLE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LISLE
Mailing Address - State:IL
Mailing Address - Zip Code:60532-1157
Mailing Address - Country:US
Mailing Address - Phone:630-962-4457
Mailing Address - Fax:630-907-4513
Practice Address - Street 1:31 W 155TH ST
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:IL
Practice Address - Zip Code:60426-3556
Practice Address - Country:US
Practice Address - Phone:708-596-5177
Practice Address - Fax:708-596-5518
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS021748P2084P0800X
IL036-1160972084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry