Healthcare Provider Details

I. General information

NPI: 1093231466
Provider Name (Legal Business Name): VALERIE FLORENCE PAULO DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2017
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 OGDEN AVE
CLARENDON HILLS IL
60514-2814
US

IV. Provider business mailing address

669 N PEORIA ST APT 3N
CHICAGO IL
60642-7326
US

V. Phone/Fax

Practice location:
  • Phone: 630-320-8888
  • Fax:
Mailing address:
  • Phone: 630-632-0296
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number019031352
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number019-031352
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: