Individual
AMANDA ANN VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5831 W 63RD ST APT 2B, CHICAGO, IL 60638-5434
(480) 313-6777
(855) 810-1930
Mailing address
5831 W 63RD ST APT 2B, CHICAGO, IL 60638-5434
(480) 313-6777
(855) 810-1930
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
222Q00000X
IL
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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