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NPI Code Detail

MEDICARE: ANNA VASQUEZ

MEDICARE: ANNA VASQUEZ
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
1163W00000XRegistered Nurse041.471704IL
2363LF0000XFamily Nurse Practitioner209033460IL

General Provider Information

NPI Number : 1881489169
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA VASQUEZ
Provider Business Mailing Address
First Line : 3860 W OGDEN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60623-2460
Country : US
Telephone Number : 872-588-3540
Fax Number :
Provider Business Practice Location Address
First Line : 3860 W OGDEN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60623-2460
Country : US
Telephone Number : 872-588-3540
Fax Number : 872-588-3540
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2025
Last Update Date : 01/29/2026

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Directions to “ ANNA VASQUEZ ” Practice Location

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