SAMUEL IRAN VAZQUEZ

GALESBURG, IL
NPI1811422132
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: IL  03666440)
Enumeration Date2017-04-24
Last Update Date2023-10-03
Business Address
SAMUEL IRAN VAZQUEZ MD
1964 PATTERSON DR
GALESBURG, IL 61401-1434
Phone number: 508-334-1000
Mailing Address
SAMUEL IRAN VAZQUEZ MD
55 LAKE AVE N
WORCESTER, MA 01655-0002
Phone number: