YAMINAH MAXIM VELASCO

EVANSTON, IL
NPI1245902501
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: IL  209033415)
Enumeration Date2021-10-04
Last Update Date2025-09-30
Business Address
YAMINAH MAXIM VELASCO AGPCNP-BC
3200 GRANT ST
EVANSTON, IL 60201-1903
Phone number: 847-961-0939
Mailing Address
YAMINAH MAXIM VELASCO AGPCNP-BC
3200 GRANT ST
EVANSTON, IL 60201-1903
Phone number: 847-961-0939