Individual
DR. ILYSA R DIAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1010 LAKE ST STE 424, OAK PARK, IL 60301-1185
(708) 613-4417
Mailing address
1010 LAKE ST STE 424, OAK PARK, IL 60301-1185
(708) 613-4417
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
02007989A
IN
207RG0100X
Gastroenterology Physician
036120184
IL
Other
Enumeration date
11/18/2008
Last updated
09/03/2024
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