Individual
CARLOS ANDRES VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., BCBA
Contact information
Practice address
10743 S AVENUE L, CHICAGO, IL 60617-6602
(773) 734-5156
Mailing address
10743 S AVENUE L, CHICAGO, IL 60617-6602
(773) 734-5156
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
—
—
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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