Individual
VANESSA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, M.ED
Contact information
Practice address
400 E RANDOLPH ST APT 808, CHICAGO, IL 60601-7101
(872) 800-2895
Mailing address
400 E RANDOLPH ST APT 808, CHICAGO, IL 60601-7101
(872) 800-2895
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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