Diaz, Jose A
Diaz, Jose A is an individual health care provider with primary practice located at 12860 Troxler Ave , Highland IL 62249-2898. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Diaz, Jose A can be contacted via phone (618) 664-9831.Contact Information
Primary practice address
12860 Troxler Ave
Highland IL 62249-2898
Phone: (618) 664-9831
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036.077861 | Illinois |
Profile Details
| NPI number | 1982693271 |
|---|---|
| LBN Legal business name | Diaz, Jose A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2005 |
| Last updated | Nov 8th, 2022 - 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 | 1982693271 | NPPES |
| Illinois | MEDICAID | 036077861 |
Popular Providers
-
Johnson, William Kent
11221 Katy Fwy Ste 115 , Houston TX 77079-2105 -
Maben, Robert E
575 S 70Th St Ste 310, Lincoln NE 68510-2471 -
Loris, Barbara Dawn
767 Park Ave W Suite 320, Highland Park IL 60035-2400 -
White, Patrick W.
5700 Monroe St Unit 101 , Sylvania OH 43560-2779 -
Hines, Paul Michael
6851 Texas Highway 154 S , Sulphur Springs TX 75482-8305 -
Owen, Reid M
154 Leonard Wood S Apt 113 , Highland Park IL 60035-5953 -
Hedberg, Herbert Mason
757 Park Ave W Ste 2850 , Highland Park IL 60035-2558 -
Rangarajan, Sriram
757 Park Ave W Ste 2850 , Highland Park IL 60035-2558