Individual
MISS DIANA LOU VIZCAYNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
332 S MICHIGAN AVE STE 900, CHICAGO, IL 60604-4393
(855) 229-2191
Mailing address
936 WILLOW RD, NORTHBROOK, IL 60062-6822
(847) 291-3596
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209016326
IL
Other
Enumeration date
06/09/2017
Last updated
05/06/2025
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