Individual
EDWARD CLARE DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1675 DEMPSTER ST FL 3, PARK RIDGE, IL 60068-1110
(847) 297-8700
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-0001
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036131931
IL
208800000X
Urology Physician
57.013244
OH
Other
Enumeration date
05/02/2008
Last updated
07/29/2022
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