Individual
CAROLINA E DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OCCUPATIONAL THERAPY
Contact information
Practice address
5124 N OAK PARK AVE, CHICAGO, IL 60656-3742
(773) 369-8305
Mailing address
5124 N OAK PARK AVE, CHICAGO, IL 60656-3742
(773) 369-8305
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057004744
IL
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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