Organization
DIAMOND GASTROENTEROLOGY SC
Active
Organization
DIAMOND GASTROENTEROLOGY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILYSA DIAMOND D.O. (OWNER)
(708) 613-4417
Entity
Organization
Contact information
Practice address
1010 LAKE ST STE 424, OAK PARK, IL 60301-1185
(708) 613-4417
Mailing address
1010 LAKE ST STE 424, OAK PARK, IL 60301-1185
(708) 613-4417
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
36120184
IL
Other
Enumeration date
06/20/2014
Last updated
08/02/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up