Individual
ANGELICA MARIE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
19110 DARVIN DR STE C, MOKENA, IL 60448-8683
(708) 765-3899
(708) 765-3939
Mailing address
19110 DARVIN DR STE C, MOKENA, IL 60448-8683
(708) 765-3899
(708) 765-3939
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209030448
IL
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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