Individual
DARELL VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6540 N LINCOLN AVE, SUITE 100, LINCOLNWOOD, IL 60712-3933
(847) 779-7900
(847) 779-7901
Mailing address
900 RAND RD, SUITE 300, DES PLAINES, IL 60016-2359
(847) 324-3976
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160-007005
IL
Other
Enumeration date
01/04/2016
Last updated
02/09/2017
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