Individual
LUCIANO S DIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
355 E ERIE ST, CHICAGO, IL 60611-3167
(312) 238-3626
(312) 238-3625
Mailing address
355 E ERIE ST, CHICAGO, IL 60611-3167
(312) 238-3626
(312) 238-3625
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036054196
IL
207XP3100X
Pediatric Orthopaedic Surgery Physician
036-054196
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036054196
—
IL
Enumeration date
09/22/2006
Last updated
07/21/2022
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