Jose M Velasco MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

JOSE M VELASCO MD

Practice address

9669 Kenton Ave
Suite 204
Skokie, IL 60076-1266

Phone

(847) 982-1095

Fax

(847) 982-1098

NPI assigned

Oct 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jose M Velasco, MDNPI 1386630366

Title

President

Phone

(847) 982-1095

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose M Velasco, M.D.

  • Surgery Physician
  • Skokie, IL
  • NPI 1386630366
  NPD (past) Authorized official

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1811186471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9669 KENTON AVE",
            "address_2": "SUITE 204",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761266",
            "telephone_number": "847-982-1095",
            "fax_number": "847-982-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9669 KENTON AVE",
            "address_2": "SUITE 204",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761266",
            "telephone_number": "847-982-1095",
            "fax_number": "847-982-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE M VELASCO MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "VELASCO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-982-1095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaac R Jones, PA-C
• Laura Stahl Jones, M.D.
• Francine Mary Jonikaitis, L.C.S.W.
• Jonsson Mental Health LLC
• Ivy T. Jordan
• Joseph P Wyse MD LTD
• Joseph Uyeda OD PC
• Joshua a Barras PH D PC
• Journey to a New Path Psychotherapy, PLLC
• Joel Christopher Joyce, MD

• Surgery Physician in Skokie, IL
• Providers in Skokie, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.