Search › Illinois › 207N00000X
Diana Vork
NPI 1871028316 · on the registry since 2017
Practice
- Address
- 1191 Fortune Blvd Ste 2
Shiloh, IL 62269 - Phone
- (618) 622-7546
- Organisation at this address
- Mitas Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Additional practice sites
- 1836 South Ave, La Crosse, WI
- 200 1st St Sw, Rochester, MN
Registry record
- Primary taxonomy
- 207N00000X
207N00000X
- Also registered as
- 207N00000X
- Licence states on file
- MN, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-09-02
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