Individual
JESSICA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1653 W CONGRESS PKWY # 12, CHICAGO, IL 60612-3833
(312) 942-7100
Mailing address
1653 W CONGRESS PKWY # 12, CHICAGO, IL 60612-3833
(312) 942-7100
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
036.176659
IL
Other
Enumeration date
04/12/2019
Last updated
08/27/2025
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