Search › Illinois › 171400000X
Mia Diaz
NPI 1861273658 · on the registry since 2023 · sole proprietor
Practice
- Address
- 38725 N Hilltop Ave
Antioch, IL 60002 - Phone
- (815) 751-3527
Registry record
- Primary taxonomy
- 171400000X
171400000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-09
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