Individual
ANNA MARIA VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
2850 W 95TH ST STE 400, EVERGREEN PARK, IL 60805-2755
(708) 424-7600
Mailing address
3906 W BELMONT AVE APT 6, CHICAGO, IL 60618-5139
(815) 690-7168
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86095100
IL
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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