Individual
EDWARD JOSSUE VAQUEDANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 SUNSET RIDGE RD, NORTHBROOK, IL 60062-4008
(224) 326-2600
Mailing address
1223 ELDER CT, WHEELING, IL 60090-2215
(847) 971-9683
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
01/14/2026
Last updated
01/14/2026
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