Individual
GLADYS VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
25 N WINFIELD RD STE 400, WINFIELD, IL 60190-1222
(630) 456-7178
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125-063792
IL
208M00000X
Hospitalist Physician
Primary
036140116
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036140116
—
IL
Enumeration date
06/24/2013
Last updated
08/28/2023
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