SearchIllinois224Z00000X

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 Llc
Inferred 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