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

Edward Jossue Vaquedano

Individual provider Occupational Therapist · NPI 1174481485

Edward Jossue Vaquedano is an Occupational Therapist in Private Practice in Northbrook, Illinois. Qualified in 2025, 1 year ago. Practices with Cortlyn Therapy PC, a 139-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
1
Licensed in
IL
In the registry since
2026
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Practice location Address checks out

1000 Sunset Ridge Rd
Northbrook, IL 60062-4008
Phone: (224) 326-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X (IL)

Record details

NPI number1174481485
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 14, 2026
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Cortlyn Therapy Pc — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Northbrook