Mary Jeane Jeane Velez
Nurse Practitioner - Gerontology
Brentwood Rehabilitation Center 3705 Deerfield Rd.
Deerfield
, Illinois 60015
Mary Jeane Jeane Velez
Nurse Practitioner - Gerontology
Brentwood Rehabilitation Center 3705 Deerfield Rd.
Deerfield
, Illinois 60015
(773) 627-6709
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Mary Jeane Jeane Velez
- 6305 W Devon Ave
- Chicago, IL
- Zip : 60646-3703
- Phone : (773) 627-6709
Second Address
- Mary Jeane Jeane Velez
- Brentwood Rehabilitation Center 3705 Deerfield Rd.
- Deerfield, IL
- Zip : 60015
- Phone : (773) 627-6709
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 209018503 | IL |
National Provider Identifier
| NPI | 1073084497 |
|---|---|
| Provider Name | Mary Jeane Jeane Velez |
| First Address | Chicago, IL 60646-3703 |
| Second Address | Deerfield, IL 60015 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/12/2018 |
| Last Update Date | 11/12/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.