Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mauricio Valencia

Individual provider Nurse Practitioner · NPI 1134636228

Mauricio Valencia is a Nurse Practitioner in Park Ridge, Illinois. Qualified in 2017, 9 years ago. Practices with Advocate Health and Hospitals Corporation, a 3,079-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Wisconsin.

Years since qualifying
9
Licensed in
IL, WI
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

850 Busse Hwy
Park Ridge, IL 60068-2302
Phone: (847) 759-4770
Fax: (847) 759-8824
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2520 Elisha Ave, Zion, IL 60099-2676 — (847) 872-6380
  • 10400 75th St, Kenosha, WI 53142-7884 — (262) 948-5600

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209.017085 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 10933 (WI)

Record details

NPI number1134636228
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 10, 2018
Last updated in NPPESDecember 16, 2022
Certification dateDecember 16, 2022
Mailing address29373 Network Pl, Chicago, IL 60673-1293

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Advocate Health And Hospitals Corporation — 3079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Park Ridge