Diamond, Ilysa R
Diamond, Ilysa R is an sole proprietor health care provider with primary practice located at 1010 Lake St Ste 424 , Oak Park IL 60301-1185. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Diamond, Ilysa R can be contacted via phone (708) 613-4417.Contact Information
Primary practice address
1010 Lake St Ste 424
Oak Park IL 60301-1185
Phone: (708) 613-4417
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 036120184 | Illinois |
Profile Details
| NPI number | 1356596332 |
|---|---|
| LBN Legal business name | Diamond, Ilysa R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 18th, 2008 |
| Last updated | Aug 2nd, 2023 - about last year |
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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