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Individual

MR. TERRENCE P DIAMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10604 SOUTHWEST HIGHWAY, STE 107, CHICAGO RIDGE, IL 60415-2717
(708) 422-0636
(708) 424-2164
Mailing address
10604 SOUTHWEST HIGHWAY, STE 107, CHICAGO RIDGE, IL 60415-2717
(708) 422-0636
(708) 424-2164

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01061295
IN
207RP1001X
Pulmonary Disease Physician
Primary
01061295
IN

Other

Enumeration date
05/09/2006
Last updated
12/08/2021
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