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Individual

ANTONIO DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
191 W NORTH AVE # 101, WEST CHICAGO, IL 60185-6238
(847) 324-3552
Mailing address
325 MARSTON AVE APT 101, GLEN ELLYN, IL 60137-6619
(630) 809-2228

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
05/08/2025
Last updated
05/08/2025
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