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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134105232 NPPES
Illinois Other 01621679 BCBS OF IL
Illinois MEDICAID 036082531 BCBS OF IL

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