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GABRIEL EDWARDO DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(312) 567-2000
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(312) 567-2000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.074563
IL
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
036.160838
IL
208M00000X
Hospitalist Physician
Primary
036160838
IL

Other

Enumeration date
06/14/2018
Last updated
02/09/2024
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