Individual
NATANIEL TECPATL VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2233 W DIVISION ST, CHICAGO, IL 60622-8151
(312) 770-2118
Mailing address
114 FRANKLIN ST, APT 3B-1, MORRISTOWN, NJ 07960-5506
(347) 628-9291
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036.127450
IL
Other
Enumeration date
04/20/2011
Last updated
04/20/2011
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