Individual
BENJAMIN ALEJANDRO VAZQUEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
840 S WOOD ST, CHICAGO, IL 60612-4325
(866) 600-2273
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036161204
IL
207R00000X
Internal Medicine Physician
125074616
IL
Other
Enumeration date
04/15/2019
Last updated
10/23/2024
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