LORENZO ANTONIO CORTEZ VELAZCO

OAK BROOK, IL
NPI1992272801
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096004610)
Enumeration Date2018-10-29
Last Update Date2018-10-29
Business Address
Mr. LORENZO ANTONIO CORTEZ VELAZCO ATC
625 ENTERPRISE DR
OAK BROOK, IL 60523-8813
Phone number: 224-814-9456
Mailing Address
Mr. LORENZO ANTONIO CORTEZ VELAZCO ATC
1416 BEVERLY DR
ROUND LAKE BEACH, IL 60073-1509
Phone number: 224-814-9456