Individual
DR. ALICIA VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1127 N. OAKLEY, 2ND FLOOR, CHICAGO, IL 60622-3599
(312) 770-2040
(312) 770-3270
Mailing address
1431 N. WESTERN AVE, SUITE 401, CHICAGO, IL 60622-1797
(312) 633-5841
(312) 491-5485
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36-085595
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036085595
—
IL
Enumeration date
04/03/2007
Last updated
03/22/2021
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