Individual
DR. DIANA CANINO BOTTARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5685
Mailing address
1221 N HIGHLAND AVE FL 2, AURORA, IL 60506-1404
(630) 264-8508
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036.122883
IL
208VP0000X
Pain Medicine Physician
Primary
036122883
IL
Other
Enumeration date
04/27/2009
Last updated
11/22/2021
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