Individual
DR. ADRIAN RECINTO VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114-2300
(815) 971-5000
Mailing address
234 W FAIRVIEW AVE APT 207, GLENDALE, CA 91202-2966
(914) 704-2298
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036163059
IL
207Q00000X
Family Medicine Physician
A191066
CA
261QU0200X
Urgent Care Clinic/Center
036.163059
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2020
Last updated
04/22/2026
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