Individual
MICHELLE A VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1000 N HAYES ST, HARVARD, IL 60033-1828
(815) 943-2975
Mailing address
29624 NETWORK PL, CHICAGO, IL 60673-1296
(608) 741-7652
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
160.010519
IL
225200000X
Physical Therapy Assistant
Primary
160.010519
IL
Other
Enumeration date
12/11/2025
Last updated
01/16/2026
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