Individual
VASTI G BAEZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 926-9366
Mailing address
3747 N OLCOTT AVE, CHICAGO, IL 60634-3315
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041441570
IL
Other
Enumeration date
01/19/2026
Last updated
01/19/2026
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