Individual
DR. JOSE A VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7107 W BELMONT AVE, SUITE# 1, CHICAGO, IL 60634-4688
(773) 889-6661
(773) 889-6663
Mailing address
1645 RAND RD, SUITE# 1, DES PLAINES, IL 60016-3551
(847) 813-5217
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019023326
IL
Other
Enumeration date
11/02/2006
Last updated
05/25/2016
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