Individual
MS. ALISON LYNN VELASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
2316 PROSPECT AVE., EVANSTON, IL 60201-1838
(847) 869-4126
Mailing address
2316 PROSPECT AVE., EVANSTON, IL 60201-1838
(847) 869-4126
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
IBCLCNUMBER11023431
—
Other
Enumeration date
11/30/2010
Last updated
11/30/2010
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