Individual
DR. MAURICE VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
165 N CHURCH RD, BENSENVILLE, IL 60106
(630) 238-9345
(630) 238-9344
Mailing address
PO BOX 177, BENSENVILLE, IL 60106-0177
(630) 238-9345
(630) 238-9344
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038007228
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02219455
BLUE CROSS BLUE SHIELD
IL
05
—
038007228
—
IL
Enumeration date
09/07/2006
Last updated
09/17/2008
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