Healthcare Provider Details

I. General information

NPI: 1922036441
Provider Name (Legal Business Name): SANDRA MADRID VALINO STOCK D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SANDRA VALINO DOYLE D.O.

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 E WOODFIELD RD STE 215
SCHAUMBURG IL
60173-5127
US

IV. Provider business mailing address

1701 E WOODFIELD RD STE 215
SCHAUMBURG IL
60173-5127
US

V. Phone/Fax

Practice location:
  • Phone: 847-916-0673
  • Fax: 847-787-9084
Mailing address:
  • Phone: 847-916-0673
  • Fax: 847-787-9084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QB0002X
TaxonomyObesity Medicine (Family Medicine) Physician
License Number036116117
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number036-116117
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: