Judy Valkenburg, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

5841 S Maryland Ave
MC 6054
Chicago, IL 60637-1447

Phone

(773) 702-5290

Fax

(773) 702-1196

NPI assigned

Mar 27, 2007

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

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ACEFAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dermatology Associates LTD

  • Non-Pharmacy Dispensing Site
  • Palos Heights, IL
  • NPI 1386255123
  NPD (past)
• Southwest Dermatology, PC

  • Dermatopathology Physician
  • Chicago, IL
  • NPI 1528491321
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1508984428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 SOUTH MARYLAND AVE",
            "address_2": "MC 6054",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE",
            "address_2": "MC 6054",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371447",
            "telephone_number": "773-702-5290",
            "fax_number": "773-702-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALKENBURG",
        "first_name": "JUDY",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taher Valika, MD
• Dorothy Ann Valin, APRN, CNS BC, PH.D.
• Laura Irene Valiukenas
• Julie Valkanet, LMT
• Christa Valkanos
• Abhista Vallabhaneni, M.D.
• Stephany Valladares, MD
• Amy Ann Vallarelli, MS, LMHC, LCPC, NCC
• Destini Valle
• Vanesa Valle

• Physician Assistant in Chicago, IL
• Providers in Chicago, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.