Individual
MICHAEL VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
516 S LOOMIS ST, CHICAGO, IL 60607-2812
(872) 298-9199
Mailing address
5036 S LEAMINGTON AVE, CHICAGO, IL 60638-2143
(773) 289-7277
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
IL
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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