Individual
AMANDA GILES VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4057 N FRANCISCO AVE APT 3W, CHICAGO, IL 60618-2645
(787) 939-2293
Mailing address
4057 N FRANCISCO AVE APT 3W, CHICAGO, IL 60618-2645
(787) 930-2293
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.007243
IL
235Z00000X
Speech-Language Pathologist
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Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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