Mayra Diaz

NPI 1891308151 · on the registry since 2020

Practice

Address: 2310 W Roosevelt Rd
Chicago, IL 60608
Phone: (312) 655-7191
Organisation at this address: Catholic Charities Of The Archdiocese Of Chicago
The Board Of Trustees Of The University Of Illinois
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 51

Registry record

Primary taxonomy: 104100000X
104100000X
Also registered as: 1041C0700X
390200000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-05-03

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