Individual
HANS WILLY MAUTONG VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1901 W HARRISON, CHICAGO, IL 60612-3714
(312) 864-6000
(484) 218-4916
Mailing address
1901 W HARRISON, CHICAGO, IL 60612-3714
(312) 864-6000
(312) 864-9725
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125083903
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/14/2024
Last updated
04/21/2025
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