Provider Demographics
NPI:1447595228
Name:VELASCO, APRIL MARIE
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:MARIE
Last Name:VELASCO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:183 N EAST RIVER RD UNIT C5
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-1286
Mailing Address - Country:US
Mailing Address - Phone:847-271-6408
Mailing Address - Fax:847-305-5886
Practice Address - Street 1:183 N EAST RIVER RD UNIT C5
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-1286
Practice Address - Country:US
Practice Address - Phone:847-271-6408
Practice Address - Fax:847-305-5886
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-04
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL160005061225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist