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Individual

NITZET VELEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1850 GATEWAY DR, SYCAMORE, IL 60178-3192
(815) 758-8671
Mailing address
1850 GATEWAY DR, SYCAMORE, IL 60178-3192
(815) 758-8671

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036-109438
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036109438
IL
01
085103
HEALTH ALLIANCE
IL
Enumeration date
08/13/2006
Last updated
09/08/2010
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