Individual
IRMA LEE VAZQUEZ-SANABRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 N 1ST ST, SPRINGFIELD, IL 62702-3719
(217) 528-7541
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
036151648
IL
207RR0500X
Rheumatology Physician
51864
SC
Other
Enumeration date
09/30/2008
Last updated
03/25/2020
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