Individual
LISA VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5104 N OVERHILL AVE, NORRIDGE, IL 60706-3337
(773) 710-3708
(415) 413-1232
Mailing address
5104 N OVERHILL AVE, NORRIDGE, IL 60706-3337
(773) 710-3708
(415) 413-1232
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
277.002726
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277002726
IL
363LP2300X
Primary Care Nurse Practitioner
277.002726
IL
Other
Enumeration date
07/30/2019
Last updated
10/09/2025
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