Individual
DR. FRIDA NITZAHA CERVANTES DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1717 W. CONGRESS PARKWAY, 1042 KELLOGG, CHICAGO, IL 60612-3806
(312) 942-5269
Mailing address
1717 W. CONGRESS PARKWAY, 1042 KELLOGG, CHICAGO, IL 60612-3806
(312) 942-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125084936
IL
Other
Enumeration date
06/27/2024
Last updated
06/28/2024
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