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John Vasquez, IDC — NPI 1245434513, Great Lakes, IL | NPI Central

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John Vasquez, IDC

NPI 1245434513 · Independent Duty Corpsman · Great Lakes, IL

Provider details

NPI number: 1245434513
Entity type: Individual
Primary specialty: Independent Duty CorpsmanOther Service Providers
Credential: IDC
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Independent Duty CorpsmanPrimary1710I1002X
Other Service Providers

Practice location

3001 6th St

Great Lakes, IL 60088

Phone: (910) 450-6397

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

3904 Sedge St

Zion, IL 60099-9503

Registry dates

Enumerated: 2007-06-12
Last updated: 2012-09-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.