Individual provider Active NPI

Homero Vasquez, PA-C

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1699954156
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085003060 Issued in IL
Practice address
676 N Saint Clair St Ste 1200
Chicago, IL 60611-3068
Phone
(312) 695-8182
Fax
(312) 695-4303
NPI assigned
Oct 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 085003060 IL
Physician Assistant 363A00000X 085003060 IL Primary

Addresses

Primary practice location

676 N Saint Clair St Ste 1200
Chicago, IL 60611-3068

Mailing address

676 N Saint Clair St Ste 1200
Chicago, IL 60611-3068
Phone (312) 695-8182

Other identifiers 2

IdentifierTypeStateIssuer
085003060OtherILLICENSE NUMBER
P01471340OtherILRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071212000759 IL Practitioner - Physician Assistant 1052401148 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

675 N Saint Clair St
Chicago, IL 60611-5975

675 N St Clair
Chicago, IL 60611-5975

676 N Saint Clair
Chicago, IL 60611-2927

676 N Saint Clair St
Chicago, IL 60611-2927

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085003060ILMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants LLC CurrentSince Apr 3, 2015 Accepting new patients
Endeavor Health Medical Group CurrentSince Apr 2, 2008 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jul 10, 2021 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jul 10, 2021 Accepting new patients
Central Dupage Physician Group Past Accepting new patients

Locations

165 S Bloomingdale Rd
Bloomingdale, IL 60108
Phone (630) 980-2001

Dept 5777
Carol Stream, IL 60122

4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102

401 N Michigan Ave
Ste 1200
Chicago, IL 60611
Phone (224) 496-6940

675 N Saint Clair St
Ste 15-200
Chicago, IL 60611
Phone (312) 695-8182

9532 Eagle Way
Chicago, IL 60678

676 N Saint Clair St
Ste 1200
Chicago, IL 60611
Phone (312) 695-8182

335 Illinois St
Crystal Lake, IL 60014
Phone (815) 459-7791

49 S Waukegan Rd
Ste 200
Deerfield, IL 60015
Phone (847) 945-4575

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

8200 Roosevelt Rd
Forest Park, IL 60130
Phone (708) 488-9850

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1699954156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST STE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113068",
            "telephone_number": "312-695-8182",
            "fax_number": "312-695-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST STE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113068",
            "telephone_number": "312-695-8182",
            "fax_number": "312-695-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "HOMERO",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-31",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IL",
            "license": "085003060",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085003060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "085003060",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01471340",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.