Individual
CARMEN VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1185 DUNDEE AVE, SUITE C, ELGIN, IL 60120-2232
(847) 931-0303
(847) 931-5230
Mailing address
1185 DUNDEE AVE, SUITE C, ELGIN, IL 60120-2232
(847) 931-0303
(847) 931-5230
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04532225
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/12/2005
Last updated
02/05/2008
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