Individual
VANESSA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 W BELMONT AVE, CHICAGO, IL 60657-3200
(773) 993-4164
Mailing address
5353 S MOZART ST, CHICAGO, IL 60632-2229
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.020845
IL
Other
Enumeration date
01/02/2026
Last updated
01/02/2026
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