Individual
LISSETTE DIAZ-SERRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2053 W BIRCHWOOD AVE APT 3, CHICAGO, IL 60645-2173
(773) 706-6197
Mailing address
2053 W BIRCHWOOD AVE APT 3, CHICAGO, IL 60645-2173
(773) 706-6197
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
22344
PR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/02/2021
Last updated
04/22/2025
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