Individual
DIANE MARIA LESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1900 W POLK ST, CHICAGO, IL 60612-3723
(312) 864-0224
(312) 864-9658
Mailing address
14 W ELM ST, APT 1704, CHICAGO, IL 60610-7132
(630) 341-5217
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005150
IL
Other
Enumeration date
11/03/2014
Last updated
11/03/2014
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