Individual
DR. JOSE M VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9669 KENTON AVE, SUITE #204, SKOKIE, IL 60076-1266
(847) 982-1095
(847) 982-1098
Mailing address
9669 KENTON AVE, SUITE #204, SKOKIE, IL 60076-1266
(847) 982-1095
(847) 982-1098
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036055695
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036055695
—
IL
Enumeration date
09/23/2005
Last updated
12/31/2008
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