| Doctor Name: | MICHELLE VASQUEZ |
| NPI Number: | 1164629531 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 036124821 |
| Business Practice Address: | 920 West St Suite 311 Peru, IL - 613542763 |
| Business Phone Number: | 8152239214 |
| Business Fax Number: | 8152239322 |
| Mailing Address: | 1305 6th St, PERU |
| State: | IL |
| Postal Code: | 613542759 |
| Phone Number: | 8157805030 |
| Fax Number: | 8157804634 |
| NPI Enumeration Date: | 06/29/2007 |
| NPI Last Update Date: | 09/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | 036124821 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |