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
Phone: (708) 422-0636
Fax: (708) 424-2164
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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