Diadula, Homer
Diadula, Homer is an individual health care provider with primary practice located at 157 Tomlin Cir , Burr Ridge IL 60527-4886. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Diadula, Homer can be contacted via phone (773) 237-3354.Contact Information
Primary practice address
157 Tomlin Cir
Burr Ridge IL 60527-4886
Phone: (773) 237-3354
Fax: (630) 850-7306
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036082531 | Illinois |
Profile Details
| NPI number | 1134105232 |
|---|---|
| LBN Legal business name | Diadula, Homer |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2005 |
| Last updated | Sep 29th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134105232 | NPPES |
| Illinois | Other | 01621679 | BCBS OF IL |
| Illinois | MEDICAID | 036082531 | BCBS OF IL |
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