Individual
DR. BRIAN TIMOTHY VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 W HARRISON ST STE 400, CHICAGO, IL 60612-4861
(877) 632-6637
Mailing address
PO BOX 735263, CHICAGO, IL 60673-5263
(877) 632-6637
(708) 409-5179
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01096001A
IN
207X00000X
Orthopaedic Surgery Physician
036174760
IL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
01096001A
IN
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
036174760
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2020
Last updated
07/09/2025
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