Individual
DIANE AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4550 GALLEON DR, LOVES PARK, IL 61111-4498
(773) 885-3347
(773) 885-3347
Mailing address
4550 GALLEON DR, LOVES PARK, IL 61111-4498
(773) 885-3347
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
09/08/2022
Last updated
12/08/2022
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