Individual
SEBASTIAN DAVID DIAZ MACUARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
924 SURREY DR APT 1B, SCHAUMBURG, IL 60193-4860
(872) 202-3282
Mailing address
924 SURREY DR APT 1B, SCHAUMBURG, IL 60193-4860
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
08/01/2022
Last updated
11/03/2022
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