Individual
NICHOLAS VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AG-ACNP
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-2908
(312) 926-2000
Mailing address
1470 W. CARMEN, 202, CHICAGO, IL 60640
(773) 263-5467
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209015060
IL
Other
Enumeration date
06/20/2017
Last updated
08/23/2017
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