Healthcare Provider Details

I. General information

NPI: 1740223775
Provider Name (Legal Business Name): NANCY ERIN VELASCO APN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1538 N ARLINGTON HEIGHTS RD
ARLINGTON HEIGHTS IL
60004-3906
US

IV. Provider business mailing address

1015 E CHERRY LN
ARLINGTON HEIGHTS IL
60004-3305
US

V. Phone/Fax

Practice location:
  • Phone: 847-253-6464
  • Fax:
Mailing address:
  • Phone: 847-253-0844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number209-004955
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209004955
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: