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Abraham Diaz
NPI 1386367852 · on the registry since 2022
Practice
- Address
- 1203 Egyptian Trl
Tuscola, IL 61953 - Phone
- (217) 253-4791
- Organisation at this address
- Tuscola Hco, Llc
Tuscola Hco, Llc
Haven Of Tuscola, Llc
Petersen Health Enterprises LlcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-09-20
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