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 2 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
-
Owen, Reid M
154 Leonard Wood S Apt 113 , Highland Park IL 60035-5953 -
Kinney, Michael R
1700 W Central Rd Ste 50 , Arlington Heights IL 60005-2477 -
Ryan, Emma E
836 Edgewood Ct , Highland Park IL 60035-3714 -
Hill, Mark Nolan
625 Roger Williams Ave Suite 102, Highland Park IL 60035-4840 -
Haggerty, Stephen Peter
767 Park Ave W Suite 320, Highland Park IL 60035-2400 -
Johnson, William Kent
11221 Katy Fwy Ste 115 , Houston TX 77079-2105 -
Loris, Barbara Dawn
767 Park Ave W Suite 320, Highland Park IL 60035-2400 -
Maben, Robert E
575 S 70Th St Ste 310, Lincoln NE 68510-2471