Velez Jo, Estrellita

Velez Jo, Estrellita is an individual health care provider with primary practice located at 10604 Southwest Highway Ste 107, Chicago Ridge IL 60415-2717. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Velez Jo, Estrellita can be contacted via phone (708) 422-0636.

Contact Information

Primary practice address
10604 Southwest Highway Ste 107 Chicago Ridge IL 60415-2717
Fax: (708) 424-2164
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 036105855 Illinois
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036105855 Illinois

Profile Details

NPI number 1427012004
LBN Legal business name Velez Jo, Estrellita
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Jun 8th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427012004 NPPES
Illinois Other 01632457 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 036105855 BLUE CROSS BLUE SHIELD
Illinois Other P00254382 BLUE CROSS BLUE SHIELD
Illinois Other R030131 BLUE CROSS BLUE SHIELD

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