Organization
HD MEDSPA & CLINIC
Active
Organization
HD MEDSPA & CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD DIAZ M.D. (OWNER)
(773) 770-6300
Entity
Organization
Contact information
Practice address
3615 N ASHLAND AVE, STE 1N, CHICAGO, IL 60613-4789
(773) 770-6300
(773) 665-5007
Mailing address
3615 N ASHLAND AVE, STE 1N, CHICAGO, IL 60613-4789
(773) 770-6300
(773) 665-5007
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1908417
IL
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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