Diamond, Sean
Diamond, Sean is an individual health care provider with primary practice located at 2160 S 1St Ave (16621 S. 107Th Court, Oarland Park, Il. 60467), Maywood IL 60153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Diamond, Sean can be contacted via phone (708) 873-7355.Contact Information
Primary practice address
2160 S 1St Ave (16621 S. 107Th Court, Oarland Park, Il. 60467)
Maywood IL 60153
Phone: (708) 873-7355
Fax: (708) 460-6138
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 36072032 | Illinois |
Profile Details
| NPI number | 1023082161 |
|---|---|
| LBN Legal business name | Diamond, Sean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Jun 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023082161 | NPPES |
| Illinois | MEDICAID | 36072032 |
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