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NPI Code Detail

MEDICARE: MARIA ELENA VAZQUEZ LCSW

MEDICARE: MARIA ELENA VAZQUEZ LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker149.030953IL

General Provider Information

NPI Number : 1811840390
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA ELENA VAZQUEZ LCSW
Provider Business Mailing Address
First Line : 4548 N KIMBALL AVE APT 2
Second Line :
City : CHICAGO
State : IL
Zip : 60625-5583
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4854 W IRVING PARK RD
Second Line :
City : CHICAGO
State : IL
Zip : 60641-2718
Country : US
Telephone Number : 773-774-4444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2026
Last Update Date : 02/16/2026

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Directions to “ MARIA ELENA VAZQUEZ LCSW” Practice Location

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