Provider Demographics
NPI:1700759792
Name:VELMORA HEALTH LLC
Entity type:Organization
Organization Name:VELMORA HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NAZAR
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLEWALE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:574-334-0336
Mailing Address - Street 1:244 W CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-3813
Mailing Address - Country:US
Mailing Address - Phone:574-334-0336
Mailing Address - Fax:
Practice Address - Street 1:9337 CALUMET AVE STE D
Practice Address - Street 2:
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-5805
Practice Address - Country:US
Practice Address - Phone:574-334-0336
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-25
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Multi-Specialty