Doctor Name: | CARLOS ANDRES VAZQUEZ |
NPI Number: | 1538329842 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A., BCBA |
License Number: | |
Business Practice Address: | 10743 S Avenue L Chicago, IL - 606176602 |
Business Phone Number: | 7737345156 |
Business Fax Number: | |
Mailing Address: | 10743 S Avenue L, CHICAGO |
State: | IL |
Postal Code: | 606176602 |
Phone Number: | 7737345156 |
Fax Number: | |
NPI Enumeration Date: | 06/10/2008 |
NPI Last Update Date: | 06/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225500000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |