Individual
RICHARD VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 E HURON ST, SUITE 250, CHICAGO, IL 60611-3197
(312) 649-6562
Mailing address
201 E HURON ST, SUITE 250, CHICAGO, IL 60611-3197
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
IL
Other
Enumeration date
07/14/2006
Last updated
02/22/2008
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