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Diana Maberry
NPI 1871851774 · on the registry since 2012 · sole proprietor
Practice
- Address
- 17314 Burr Oak Ln
Hazel Crest, IL 60429 - Phone
- (708) 566-1196
- Fax
- (708) 335-2823
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-04-27
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