Velazquez Clinic LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

VELAZQUEZ CLINIC LTD

Practice address

1185 Dundee Ave
Suite C
Elgin, IL 60120-2232

Phone

(847) 931-0300

Fax

(847) 931-0303

NPI assigned

Jul 12, 2006

Last updated

Feb 5, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carmen Velazquez, MDNPI 1518965714

Title

Director

Phone

(847) 931-0300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carmen Velazquez, MD

  • Internal Medicine Physician
  • Elgin, IL
  • NPI 1518965714
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1548295108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 DUNDEE AVE",
            "address_2": "SUITE C",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601202232",
            "telephone_number": "847-931-0300",
            "fax_number": "847-931-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 DUNDEE AVE",
            "address_2": "SUITE C",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601202232",
            "telephone_number": "847-931-0300",
            "fax_number": "847-931-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VELAZQUEZ CLINIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "VELAZQUEZ",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-931-0300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "4532225",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Varma Dental PC (Bright Valley Dental)
• Angelica Mercedes Vasquez, BA
• Leticia Vasquez
• Eduar Vazquez, LSW
• Jennifer Vega
• Carmen Velazquez, MD
• Elvia Velazquez, LPC
• Marilena Velez, DNP
• Saranya Veluswamy, M.D
• Elora Venchus, CADC

• Internal Medicine Physician in Elgin, IL
• Providers in Elgin, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.