Individual
VELMA CULVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1514 S ALBANY AVE, 1514 SOUTH ALBANY AVE, CHICAGO, IL 60623-2210
(773) 370-8081
Mailing address
1514 S ALBANY AVE, 1, CHICAGO, IL 60623-2210
(773) 370-8081
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
247200000X
IL
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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