Organization
DIYA PSYCHIATRY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA C HNATIW (ACCT MANAGER)
(630) 241-1495
Entity
Organization
Contact information
Practice address
26 E SCRANTON AVE UNIT 115, LAKE BLUFF, IL 60044-3204
(714) 261-8950
Mailing address
26 E SCRANTON AVE UNIT 115, LAKE BLUFF, IL 60044-3204
(714) 261-8950
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/10/2022
Last updated
05/31/2022
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