Valenzuela, Reuben Mari

Valenzuela, Reuben Mari is an individual health care provider with primary practice located at 1001 Main St Ste 611 , Peoria IL 61606-1907. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Valenzuela, Reuben Mari can be contacted via phone (309) 495-0200.

Contact Information

Primary practice address
1001 Main St Ste 611 Peoria IL 61606-1907
Phone: (309) 495-0200
Fax: (309) 676-6545
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 9045377-1205 Utah
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125058436 Illinois
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036141397 Illinois

Profile Details

NPI number 1922328103
LBN Legal business name Valenzuela, Reuben Mari
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2010
Last updated Dec 30th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922328103 NPPES
Utah MEDICAID 1922328103

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