Healthcare Provider Details

I. General information

NPI: 1821921008
Provider Name (Legal Business Name): VALERIE PAULO DMD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

909 E 31ST ST
LA GRANGE PARK IL
60526-1398
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 708-328-8281
  • Fax: 708-328-8289
Mailing address:
  • Phone: 630-632-0296
  • Fax: 708-328-8289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: VALERIE FLORENCE PAULO
Title or Position: OWNER
Credential: DMD
Phone: 630-632-0296