Individual
MR. DANIEL OMAR DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
3703 W LAKE AVE, 200, GLENVIEW, IL 60026-1223
(847) 998-1188
Mailing address
7753 VAN BUREN ST, #317, FOREST PARK, IL 60130-1887
(708) 351-3409
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.008786
IL
Other
Enumeration date
10/21/2009
Last updated
10/21/2009
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