Organization
RICHARD M VAZQUEZ MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD VAZQUEZ (OWNER)
(312) 649-6562
Entity
Organization
Contact information
Practice address
201 E HURON ST, SUITE 250, CHICAGO, IL 60611-3197
(312) 649-6562
Mailing address
201 E HURON ST, SUITE 250, CHICAGO, IL 60611-3197
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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