DR. JONATHAN B VASQUEZ


Address: 1800 E Lake Shore Dr, Decatur, IL 62521-3810
Phone: 2174642966

DR. JONATHAN B VASQUEZ (NPI# 1093910507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093910507
Entity Type Individual
Full Name DR. JONATHAN B VASQUEZ
Credential M.D.
Practice Address 1800 E Lake Shore Dr
Decatur
IL 62521-3810
Mailing Address 1033 Westmore Meyers Rd
Apt. 110
Lombard
IL 60148-3285
Practice Telephone 2174642966
Enumeration Date 2007-06-15
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
IL Allopathic & Osteopathic Physicians

Other Providers JONATHAN VASQUEZ

NPI Name Taxonomy Address Enumeration
1750753273 Jonathan Vasquez Student in an Organized Health Care Education/Training Program 541 W 180th St, 48, New York, NY 10033 2015-10-23
1326406786 Jonathan Vasquez Respiratory Therapist, Registered 1959 Ne Pacific St, Seattle, WA 98195-0001 2016-02-01
1699016006 Jonathan Michael Vasquez Rehabilitation Practitioner 9864 Baldwin Pl, El Monte, CA 91731-2202 2013-03-09

Office Location

Street Address 1800 E LAKE SHORE DR
City DECATUR
State IL
Zip Code 62521-3810

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326041229 St Marys Hospital Sisters of The Third Order of St Francis General Acute Care Hospital 1800 E Lake Shore Dr, Decatur, IL 62521 2005-05-24
1093349912 Nicholas Halford Nurse Anesthetist, Certified Registered 1800 E Lake Shore Dr, Decatur, IL 62521-3810 2020-02-29
1295368207 Amanda Durbin Nurse Anesthetist, Certified Registered 1800 E Lake Shore Dr, Decatur, IL 62521-3810 2020-02-18
1194362392 Cassie Briggs Nurse Practitioner 1800 E Lake Shore Dr, Decatur, IL 62521-3883 2019-12-06
1093351413 Megan Leech Advanced Practice Midwife 1800 E Lake Shore Dr, Decatur, IL 62521-3810 2019-11-20
1992355812 Gideon Nkrumah Nurse Anesthetist, Certified Registered 1800 E Lake Shore Dr, Decatur, IL 62521-3883 2019-09-12
1407417181 Komal J Patel Dietitian, Registered 1800 E Lake Shore Dr, Decatur, IL 62521-3810 2019-06-24
1760940712 Emily Ann Foster Internal Medicine 1800 E Lake Shore Dr, Decatur, IL 62521-3810 2019-03-08
1477010874 Jennifer Diann Pieper Nurse Anesthetist, Certified Registered 1800 E Lake Shore Dr, Decatur, IL 62521-3810 2019-02-22
1760955298 Hailey Michelle Williams Dietitian, Registered 1800 E Lake Shore Dr, Decatur, IL 62521-3810 2019-01-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053927988 Caleb David Braasch Pharmacist 1818 South Airport Rd, Decatur, IL 62521 2020-09-16
1295390490 Crossing Recovery Center Substance Abuse Rehabilitation Facility Crossing Recovery Center, 495 East Central Ave, Decatur, IL 62521 2019-05-03
1396300638 Crossing Recovery Center Substance Abuse Rehabilitation Facility 495 E Central Ave, Decatur, IL 62521 2019-05-02
1679138911 Crossing Recovery Center Substance Abuse Rehabilitation Facility 495 East Central Ave, Decatur, IL 62521 2019-05-02
1154848034 Zack Shaw Physical Therapist 4855-57 East 36, Decatur, IL 62521 2017-08-23
1790032852 Prashant Morolia Family Medicine 4775 E Maryland St, Decatur, IL 62521 2012-08-08
1003188913 Evergreen Place Decatur, LLC Assisted Living Facility 4825 E Evergreen Court, Decatur, IL 62521 2012-02-08
1104133099 Suzette Marie Shafer Occupational Therapy Assistant 1790 S. Fairview Ave., Decatur, IL 62521 2010-09-13
1467784090 Community Health Improvement Center Clinic/Center 1221 East Condit Street, Decatur, IL 62521 2010-02-08
1982839056 Kelly Clark Dds PC Dentist 3737 Us Rt 36 E, Decatur, IL 62521 2009-05-19
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Taxonomy Information

Taxonomy Code 207ZP0102X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology & Clinical Pathology

Taxonomy Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679891311 Cindy Mei Chy Hsieh Pathology 1800 E. Lake Shore Drive, Decatur, IL 62521-4839 2010-05-05
1952314627 Elizabeth W Jones Pathology 2300 N Edward Street, Decatur, IL 62526 2006-08-14
1922014455 David Martin Johnson Pathology 2300 N Edward Str, Decatur, IL 62526 2006-08-01
1063426526 Robert Kevin Harrell Pathology 428 Winn Ct, Decatur, GA 30030-1726 2006-07-28
1417907890 Vijay Alluri Varma Pathology Va Medical Center Lab Services, 1670 Clairmont Rd., Decatur, GA 30033 2006-05-10
1376504365 Sue A Strayer Pathology 1800 E Lake Shore Drive, St Marys-decatur, Decatur, IL 62521-3883 2006-03-29
1013335074 Shannon Marie O'brien Pathology 2701 N Decatur Rd, Decatur, GA 30033-5918 2014-04-06
1356607998 Tesha Ann Guillory Pathology 2701 N Decatur Rd, Decatur, GA 30033-5918 2012-04-09
1386930832 Lora Darrisaw Pathology 3121 Panthersville Rd, Decatur, GA 30034-3830 2011-06-23
1861678468 Jigna C Jani Pathology 2701 N Decatur Rd, Decatur, GA 30033-5918 2008-01-14
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Competitor

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City DECATUR
Zip Code 62521

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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