Izabela Maria Dalla Valle

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.009571 Issued in IL

Practice address

3901 Mercy Dr
McHenry, IL 60050-3151

Phone

(815) 363-9900

NPI assigned

May 31, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415577600000",
    "number": "1447511944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 MERCY DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600503151",
            "telephone_number": "815-363-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 MERCY DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600503151",
            "telephone_number": "815-363-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLA VALLE",
        "first_name": "IZABELA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-31",
        "last_updated": "2014-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.009571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richcygan Cygan
• Kaitlin Marie Cyrier, OTD, OTR/L
• D. Gill Speech, Inc.
• Gretchen Ann Dabrowski, CNM
• Phyllis Ruth Dalla Betta, FNP
• Terri L Dallas-Prunskis, MD
• Sana Damani
• Logan Carl Daniels
• John V Dano
• Amy Marie Dapper

• Family Nurse Practitioner in McHenry, IL
• Providers in McHenry, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.