Individual
MRS. DIANA THERESE MARQUEZ STIMAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070-017808
IL
225100000X
Physical Therapist
Primary
PT 60525569
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00852535
MEDICARE RR
IL
01
—
P00931600
MEDICARE RAILROAD
IL
Enumeration date
07/10/2010
Last updated
03/05/2025
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