Individual
TIMOTHY VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5207 MAIN ST, DOWNERS GROVE, IL 60515-4652
(630) 435-9888
(630) 963-1524
Mailing address
POB 7132960, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-012127
IL
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/27/2026
Last updated
06/12/2026
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