Virginia L Velazquez (NPI# 1609952670, PAC ID# 1759483340) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1609952670 |
| PAC ID by PECOS | 1759483340 |
| Professional Enrollment ID | I20070228000533 |
| Full Name | Virginia L Velazquez |
| Organization Legal Name | MEDICAL PAIN MANAGEMENT SERVICES, LTD. |
| Address |
403 E 1st St Dixon IL 61021-3116 |
| Phone Number | 8152885531 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2005 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4284693755 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140012 | KATHERINE SHAW BETHEA HOSPITAL |
| 140233 | OSF SAINT ANTHONY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 403 E 1st St, Dixon, IL 61021-3116 | 8152885531 | MEDICAL PAIN MANAGEMENT SERVICES, LTD. |
| 1235 N Mulford Rd, Suite 222, Rockford, IL 61107-3879 | 8153978400 | MEDICAL PAIN MANAGEMENT SERVICES, LTD. |
| Organization Legal Name | MEDICAL PAIN MANAGEMENT SERVICES, LTD. |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William S Minore | Interventional Pain Management | Medical Pain Management Services, Ltd. | 1235 N Mulford Rd, Suite 222, Rockford, IL 61107-3879 |
| Daniel R Green | Nurse Practitioner | Medical Pain Management Services, Ltd. | 1045 W Stephenson St, Freeport, IL 61032-4864 |
| Howard W Weiss | Interventional Pain Management | Medical Pain Management Services, Ltd. | 1045 W Stephenson St, Freeport, IL 61032-4864 |
| Azhar M Kothawala | Interventional Pain Management | Medical Pain Management Services, Ltd. | 1235 N Mulford Rd, Suite 222, Rockford, IL 61107-3879 |
| Street Address |
403 E 1ST ST |
| City | DIXON |
| State | IL |
| Zip | 61021-3116 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher P Vittore | Diagnostic Radiology | Rockford Radiology Associates | 403 E 1st St, Dixon, IL 61021-3116 |
| Kyle D Swanson | Podiatry | Ksb Medical Group Inc | 403 E 1st St, Dixon, IL 61021-3116 |
| Russell J Bodner | Orthopedic Surgery | Ksb Medical Group Inc | 403 E 1st St, Dixon, IL 61021-3116 |
| Audra D Washo | Nurse Practitioner | Ksb Medical Group Inc | 403 E 1st St, Dixon, IL 61021-3116 |
| Joanna E Lindell | Psychiatry | Ksb Medical Group Inc | 403 E 1st St, Dixon, IL 61021-3116 |
| Tony Choi | Orthopedic Surgery | Ksb Medical Group Inc | 403 E 1st St, Dixon, IL 61021-3116 |
| Stephen E Lehnert | Diagnostic Radiology | Rockford Radiology Associates | 403 E 1st St, Dixon, IL 61021-3116 |
| Pranjal Mukesh Agrawal | Internal Medicine | Katherine Shaw Bethea Hospital | 403 E 1st St, Dixon, IL 61021-3116 |
| Cheryl A Schwalm | Diagnostic Radiology | Rockford Radiology Associates | 403 E 1st St, Dixon, IL 61021-3116 |
| Mufaddal M Hashim | Diagnostic Radiology | Rockford Radiology Associates | 403 E 1st St, Dixon, IL 61021-3116 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharon J Jones Burtlow | Nurse Practitioner | Physicians Immediate Care Ltd. | 1672 S Gelena Ave, Dixon, IL 61021 |
| Timothy W Boersma | General Practice | Physicians Immediate Care Ltd. | 1672 S Gelena Ave, Dixon, IL 61021 |
| Kurt K Nelson | Optometry | 629 N Galena Ave, Dixon, IL 61021-0572 | |
| Lauren E Cecchetti | Nurse Practitioner | Cgh Medical Center | 1321 N Galena Ave, Dixon, IL 61021-1009 |
| Eric Gale | Internal Medicine | Cgh Medical Center | 1319 N Galena Ave, Dixon, IL 61021-1009 |
| Rachel M Deets | Physician Assistant | Cgh Medical Center | 1319 N Galena Ave, Dixon, IL 61021-1009 |
| Nolan D Wolfe | Physical Therapy | Cgh Medical Center | 1319 N Galena Ave, Dixon, IL 61021-1009 |
| Edward P Hanlon | Optometry | Cgh Medical Center | 1319 N Galena Ave, Dixon, IL 61021-1009 |
| Geoffrey N Wright | Physical Therapy | Cgh Medical Center | 1319 N Galena Ave, Dixon, IL 61021-1009 |
| Ajay Kumar Varma Buddaraju | Rheumatology | Cgh Medical Center | 1319 N Galena Ave, Dixon, IL 61021-1009 |
| Find all physicians in zip 61021 | |||
| City | DIXON |
| Zip Code | 61021 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DIXON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Virginia L Velazquez.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.