Individual
MS. GLORIA ISABEL DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2805 N KNOXVILLE AVE, PEORIA, IL 61604-2869
(309) 624-9400
(309) 624-2280
Mailing address
2805 N KNOXVILLE AVE, PEORIA, IL 61604-2869
(309) 624-9400
(309) 624-2280
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
IL
Other
Enumeration date
10/17/2005
Last updated
07/08/2007
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