Individual
ANDRES VEGA PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
229 E PINEVIEW DR, ROUND LAKE PARK, IL 60073-3417
(224) 368-7679
Mailing address
229 E PINEVIEW DR, ROUND LAKE PARK, IL 60073-3417
(224) 368-7679
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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