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Individual

BARBARA DIAKOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9660 WICKER AVE, SAINT JOHN, IN 46373-9487
(219) 226-2236
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 739-2770
(219) 703-6854

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01082757A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036086553
IL
01
1620171
BLUE CROSS BLUE SHIELD
IL
05
300010757
IN
Enumeration date
06/28/2006
Last updated
06/07/2024
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