SearchIllinois225200000X

Stephen Diaz

NPI 1174238000 · on the registry since 2023 · sole proprietor

Practice

Address
29330 N Waukegan Rd
Lake Bluff, IL 60044
Phone
(224) 202-6732

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-01-16

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