Individual
ALIXANDRA VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 W VALLETTE ST, ELMHURST, IL 60126-4419
(844) 984-7252
Mailing address
723 FOREST RD, LA GRANGE PARK, IL 60526-1539
(815) 441-3475
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178020372
IL
Other
Enumeration date
08/17/2024
Last updated
10/31/2024
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