Individual
MR. EDILBERTO VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5000 S 5TH AVE RM 4093, HINES, IL 60141-3030
(708) 202-8387
Mailing address
7946 W OAKLEAF AVE, ELMWOOD PARK, IL 60707-1315
(773) 664-6843
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.021987
IL
Other
Enumeration date
11/29/2017
Last updated
03/11/2025
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