Individual
DR. MUHYALDEEN DIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,FACC
Contact information
Practice address
10837 S CICERO AVE STE 200, OAK LAWN, IL 60453-6459
(708) 636-7575
(708) 636-6193
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
036-088800
IL
207RC0000X
Cardiovascular Disease Physician
036-088800
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036088800
—
IL
01
—
060053842
PALMETTO GBA INDIVIDUAL #
IL
01
—
21622931
BCBS GROUP #
IL
01
—
CI8250
PALMETTO GBA GROUP #
IL
Enumeration date
08/26/2005
Last updated
02/17/2025
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