Individual
CHRISTEL DIAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-FPA
Contact information
Practice address
114 E COOK AVE, LIBERTYVILLE, IL 60048-2015
(224) 504-1114
Mailing address
114 E COOK AVE, LIBERTYVILLE, IL 60048-2015
(224) 504-1114
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
277.000483
IL
Other
Enumeration date
03/02/2009
Last updated
03/16/2022
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