Healthcare Provider Details
I. General information
NPI: 1205433448
Provider Name (Legal Business Name): DIONE F VALENTINO FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/01/2020
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3100 THEODORE ST STE 201
JOLIET IL
60435-0605
US
IV. Provider business mailing address
120 W 22ND ST
OAK BROOK IL
60523-1557
US
V. Phone/Fax
- Phone: 815-744-5550
- Fax:
- Phone: 630-573-5000
- Fax: 630-491-5472
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 277.002401 |
| License Number State | IL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: