Individual
DR. DIANA MARTA FATYGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
711 W NORTH AVE, CHICAGO, IL 60610-1174
(312) 337-1982
Mailing address
711 W NORTH AVE, CHICAGO, IL 60610-1174
(312) 337-1982
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036143778
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125.065916
STATE OF ILLINOIS TEMPORARY LICENSE NUMBER
IL
Enumeration date
05/26/2014
Last updated
04/13/2026
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