Individual
JENNIFER RACHEL VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O., PH.D.
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453
(708) 684-5673
Mailing address
1600 N RANDALL RD STE 225131, ELGIN, IL 60123-7803
(630) 232-2391
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.143846
IL
207RR0500X
Rheumatology Physician
036143846
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
04/06/2015
Last updated
11/15/2021
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