Individual
TIMOTHY VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5359 SUFFIELD TER, SKOKIE, IL 60077-1568
(224) 616-4213
Mailing address
5359 SUFFIELD TER, SKOKIE, IL 60077-1568
(224) 616-4213
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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