Individual
JARED VELASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
707 SKOKIE BLVD STE 600, NORTHBROOK, IL 60062-2841
(847) 644-3628
(847) 305-5886
Mailing address
707 SKOKIE BLVD STE 600, NORTHBROOK, IL 60062-2841
(847) 644-3628
(847) 305-5886
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041411396
IL
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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