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1245257955
RENE C VELAZCO
CHICAGO, IL
NPI
1245257955
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036070511)
Enumeration Date
2006-07-17
Last Update Date
2007-07-08
Business Address
-- RENE C VELAZCO md
5137 N BROADWAY ST
CHICAGO, IL 60640-3009
Phone number: 773-334-3767
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Mailing Address
-- RENE C VELAZCO md
4215 RUTGERS LN
NORTHBROOK, IL 60062-2913
Phone number: 847-205-0561
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