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Individual

MELISSA MARIA VAZQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 996-7723
Mailing address
3939 W PINE BLVD, SAINT LOUIS, MO 63108-3220
(314) 441-6208

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
03/24/2026
Last updated
03/24/2026
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