Search › Illinois › 2086S0102X

Jessica Diaz

NPI 1174086425 · on the registry since 2019 · sole proprietor

Practice

Address
1653 W Congress Pkwy # 12
Chicago, IL 60612
Phone
(312) 942-7100
Clinicians at this address
11

Registry record

Primary taxonomy
2086S0102X
2086S0102X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-08-27

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