MEDICARE: DR. AIMEELEE BANEA VALEROSO M.D.

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
1	207Q00000X	Family Medicine Physician	036116855	IL

General Provider Information

NPI Number	:	1801949409
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AIMEELEE BANEA VALEROSO M.D.

Provider Business Mailing Address
First Line	:	455 S ROSELLE RD STE 121
Second Line	:
City	:	SCHAUMBURG
State	:	IL
Zip	:	60193-2966
Country	:	US
Telephone Number	:	630-671-4980
Fax Number	:	630-671-4989

Provider Business Practice Location Address
First Line	:	455 S ROSELLE RD STE 121
Second Line	:
City	:	SCHAUMBURG
State	:	IL
Zip	:	60193-2966
Country	:	US
Telephone Number	:	630-671-4980
Fax Number	:	630-671-4989

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2007
Last Update Date	:	05/11/2021

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