Healthcare Provider Details

I. General information

NPI: 1548186216
Provider Name (Legal Business Name): GABRIELA VALDIVIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3856 S SACRAMENTO AVE
CHICAGO IL
60632-2331
US

IV. Provider business mailing address

3856 S SACRAMENTO AVE
CHICAGO IL
60632-2331
US

V. Phone/Fax

Practice location:
  • Phone: 773-946-3154
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: