Individual
YAMINAH MAXIM VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
3200 GRANT ST, EVANSTON, IL 60201-1903
(847) 961-0939
Mailing address
3200 GRANT ST, EVANSTON, IL 60201-1903
(847) 961-0939
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
209033415
IL
Other
Enumeration date
10/04/2021
Last updated
10/19/2025
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