Organization
JOSE M VELASCO MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE M VELASCO MD (PRESIDENT)
(847) 982-1095
Entity
Organization
Contact information
Practice address
9669 KENTON AVE, SUITE 204, SKOKIE, IL 60076-1266
(847) 982-1095
(847) 982-1098
Mailing address
9669 KENTON AVE, SUITE 204, SKOKIE, IL 60076-1266
(847) 982-1095
(847) 982-1098
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
IL
Other
Enumeration date
10/19/2007
Last updated
10/19/2007
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