Individual
MRS. DIANNA EMMA SPINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
304 BERNICE AVE, NORTHLAKE, IL 60164-1804
(630) 484-9006
Mailing address
304 BERNICE AVE, NORTHLAKE, IL 60164-1804
(630) 484-9006
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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