Alanis, Diana Elizabeth

Alanis, Diana Elizabeth is an individual health care provider with primary practice located at 461 N Mulford Rd Ste 3 , Rockford IL 61107-5165. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Alanis, Diana Elizabeth can be contacted via phone (815) 227-9594.

Contact Information

Primary practice address
461 N Mulford Rd Ste 3 Rockford IL 61107-5165
Phone: (815) 227-9594
Fax: (815) 227-9574
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036109226 Illinois

Profile Details

NPI number 1922007418
LBN Legal business name Alanis, Diana Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Jan 25th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922007418 NPPES
Illinois MEDICAID 3625485496111001

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