Individual
CAROLINA GONZALEZ VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4220 W 95TH ST STE 200, OAK LAWN, IL 60453-3072
(708) 398-0287
Mailing address
4220 W 95TH ST STE 200, OAK LAWN, IL 60453-3072
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125079960
IL
Other
Enumeration date
07/29/2022
Last updated
08/15/2022
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