Individual
DR. JOHN E VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1740 W TAYLOR ST # 3200W, CHICAGO, IL 60612-7232
(312) 996-4020
Mailing address
1740 W TAYLOR ST # 3200W, CHICAGO, IL 60612-7232
(312) 996-4020
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036-086616
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036086616-1
—
IL
Enumeration date
07/20/2005
Last updated
07/12/2021
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