NPI 1093910507

Jonathan B Vasquez, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Decatur, IL

Practice location

Address: 1800 E Lake Shore Dr, Decatur, IL 62521-3810
Phone: (217) 464-2966
Mailing address: 1033 Westmore Meyers Rd APT. 110, Lombard, IL 60148-3285

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X

Other Pathology providers in Illinois →

Registry record

NPI: 1093910507
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jun 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.