Provider Demographics
NPI:1114814910
Name:DUBY, VALERIE (MSN, FNP-C)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:DUBY
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 E WABASH AVE
Mailing Address - Street 2:
Mailing Address - City:FORREST
Mailing Address - State:IL
Mailing Address - Zip Code:61741-9369
Mailing Address - Country:US
Mailing Address - Phone:815-657-8707
Mailing Address - Fax:
Practice Address - Street 1:122 E WABASH AVE
Practice Address - Street 2:
Practice Address - City:FORREST
Practice Address - State:IL
Practice Address - Zip Code:61741-9369
Practice Address - Country:US
Practice Address - Phone:815-657-8707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.032588207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine