Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clemen O Gonzalez Vasquez, MD

Individual provider Family Medicine Physician · NPI 1609302900

Clemen O Gonzalez Vasquez, MD is a Family Practice in Chicago, Illinois. Qualified in 2020, 6 years ago. Practices with Primecare Community Health, Inc, a 41-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Maryland.

Years since qualifying
6
Licensed in
IL, MD
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1649 N Pulaski Rd
Chicago, IL 60639-5207
Phone: (773) 278-6868
Fax: (773) 278-6922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8830 Belair Rd, Baltimore, MD 21236-2401 — (410) 529-9200

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence D0106075 (MD)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036.152519 (IL)

Record details

NPI number1609302900
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 5, 2017
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Primecare Community Health, Inc. — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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