Individual
DIANE MARIE CREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1900 W POLK ST, CHICAGO, IL 60612-3723
(312) 864-8032
Mailing address
2928 BIRCH RD, HOMEWOOD, IL 60430-2811
(630) 930-9893
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
041218691
IL
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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