Individual
ANTHONY D DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
800 BIESTERFIELD RD, DEPT OF ANESTHESIA, ELK GROVE VILLAGE, IL 60007-3361
(847) 437-5500
(847) 981-5589
Mailing address
4330 DEPARTMENT, CAROL STREAM, IL 60122-0001
(847) 495-1603
(847) 537-4866
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036113977
IL
207L00000X
Anesthesiology Physician
1103-321
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0161919966
BLUE SHILED OF ILLINOIS
IL
01
—
131983700
US DEPT OF LABOR
IL
Enumeration date
11/05/2007
Last updated
09/18/2025
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