Jose M Velasco MD

NPI #1811186471 in Skokie, Illinois

Provider Information

NPI Number: 1811186471
Entity Type: Organization
Organization Name: Jose M Velasco MD
Primary Specialty: Surgery
Enumeration Date: Oct 19, 2007
Last Updated: Oct 19, 2007

Practice Location

Address: 9669 KENTON AVE
Address 2: SUITE 204
City: Skokie
State: Illinois
ZIP Code: 60076-1266
Phone: (847) 982-1095

Authorized Official

Name: DR. JOSE M VELASCO, MD
Title: PRESIDENT
Phone: (847) 982-1095

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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