SearchIllinois1710I1002X

John Vasquez, IDC

NPI 1245434513 · on the registry since 2007

Practice

Address
3001 6th St
Great Lakes, IL 60088
Phone
(910) 450-6397
Organisation at this address
Bdc Kansas City
Nbhc Ntc Great Lakes
Nbhc Nctc Great Lakes
Nbhc Nctc Inpr Great Lakes
James A Lovell Federal Health Care Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
75

Registry record

Primary taxonomy
1710I1002X
1710I1002X
Sex
Male
Record last updated
2012-09-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois