Provider Demographics
NPI:1174363378
Name:VALDES, CAROLINA ALEIDA
Entity type:Individual
Prefix:
First Name:CAROLINA
Middle Name:ALEIDA
Last Name:VALDES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1505 KEELE CIR
Mailing Address - Street 2:
Mailing Address - City:CARPENTERSVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60110-3105
Mailing Address - Country:US
Mailing Address - Phone:847-346-6540
Mailing Address - Fax:
Practice Address - Street 1:1505 KEELE CIR
Practice Address - Street 2:
Practice Address - City:CARPENTERSVILLE
Practice Address - State:IL
Practice Address - Zip Code:60110-3105
Practice Address - Country:US
Practice Address - Phone:847-346-6540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-28
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker