Diamond, Mark D
Diamond, Mark D is an individual health care provider with primary practice located at 2100 Glenwood Ave , Joliet IL 60435-5487. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Diamond, Mark D can be contacted via phone (815) 725-2121.Contact Information
Primary practice address
2100 Glenwood Ave
Joliet IL 60435-5487
Phone: (815) 725-2121
Fax: (815) 744-3117
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036091440 | Illinois |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036091440 | Illinois |
Profile Details
NPI number | 1265402804 |
---|---|
LBN Legal business name | Diamond, Mark D |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 25th, 2006 |
Last updated | Aug 7th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1265402804 | NPPES |
Illinois | MEDICAID | 036091440 |
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