Individual
GABRIELA VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7900 DIVISION ST, RIVER FOREST, IL 60305-1066
(708) 366-2490
Mailing address
7900 DIVISION ST, RIVER FOREST, IL 60305-1066
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/01/2019
Last updated
05/04/2021
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