Individual
MR. GILBERTO DIAZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-8387
Mailing address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-8387
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/14/2012
Last updated
12/29/2021
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