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NPI Code Detail

MEDICARE: VALERIE LEA STREICH FNP-BC

MEDICARE: VALERIE LEA STREICH FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner277004905IL

General Provider Information

NPI Number : 1760900047
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALERIE LEA STREICH FNP-BC
Provider Business Mailing Address
First Line : 2020 E GRAND AVE
Second Line :
City : LINDENHURST
State : IL
Zip : 60046-9069
Country : US
Telephone Number : 815-356-0386
Fax Number : 815-356-9123
Provider Business Practice Location Address
First Line : 2020 E GRAND AVE
Second Line :
City : LINDENHURST
State : IL
Zip : 60046-9069
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2017
Last Update Date : 03/11/2026

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