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Individual

ALYSSA VASQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
676 N SAINT CLAIR ST, SUITE 800, CHICAGO, IL 60611-2927
(312) 695-5753
Mailing address
676 N SAINT CLAIR ST, SUITE 800, CHICAGO, IL 60611-2927

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.005256
IL

Other

Enumeration date
11/04/2014
Last updated
11/17/2017
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