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Itzel Diaz

NPI 1821805581 · on the registry since 2024

Practice

Address
1454 W Blackhawk St Apt G
Chicago, IL 60642
Phone
(812) 679-8552

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-12-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois