Individual
JOSE DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DN
Contact information
Practice address
3330 N MILWAUKEE AVE, CHICAGO, IL 60641-4001
(773) 294-6899
Mailing address
3746 W 62ND PL, CHICAGO, IL 60629-4019
(773) 294-6899
Taxonomy
Speciality
Code
Description
License number
State
172P00000X
Naprapath
01004
NM
172P00000X
Naprapath
Primary
181000384
IL
Other
Enumeration date
04/06/2014
Last updated
02/08/2016
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