Christine L. Valentine, APRN, CNP
Individual provider Active NPI Nurse Practitioner · Genoa, IL
NPI 1801121405 · NPPES record last updated Dec 6, 2024
Key facts
- NPI
- 1801121405
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 209007697 (IL)
- Practice address
- 599 Pearson Dr
Genoa, IL 60135-1383 - Phone
- (815) 784-6437
- Fax
- (815) 784-3933
- NPI assigned
- Oct 15, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Central Dupage Physician Group
Practice addresses (Care Compare)
599 Pearson Dr
Genoa, IL 60135-1383
Phone (815) 784-6437
Hospital & facility affiliations
- Northwestern Medicine Central Dupage Hospital
- Northwestern Medicine Kishwaukee Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100224000039 | IL | Practitioner - Nurse Practitioner | 2264576669 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209007697 | IL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Current |
Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current |
Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Rockford Health Physicians | Current |
Accepting new patients | |
| Rock River Health, Inc. | Family | Past | Accepting new patients |
Locations
7736 Solution Ctr
Chicago, IL 60677
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240
900 N 2nd St
Ste 200
Rochelle, IL 61068
Phone (815) 562-2181
900 N 2nd St
Rochelle, IL 61068
Phone (815) 562-2181
8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
1221 E State St
Rockford, IL 61104
Phone (815) 972-1000
330 15th Ave
Rockford, IL 61104
Phone (815) 395-5858
102 Landmark Dr
Winnebago, IL 61088
Phone (815) 971-3200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 209007697 | IL | |
| Family Nurse Practitioner | 363LF0000X | 209007697 | IL | |
| Nurse Practitioner | 363L00000X | 209007697 | IL | Yes |
Addresses
Primary practice location
599 Pearson Dr
Genoa, IL 60135-1383
Mailing address
599 Pearson Dr
Genoa, IL 60135-1383
Phone (815) 784-6437
Other practice location 1
1340 Charles St Ste 300
Rockford, IL 61104-2200
Phone (779) 696-5888
Other practice location 2
21193 Malta Rd
Malta, IL 60150-9600
Phone (815) 754-1089
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209007697 | Other | IL | ADVANCED PRACTITIONER LICENSE NUMBER |
Other providers in Genoa, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.