Diaz, Juan Carlos

Diaz, Juan Carlos is an sole proprietor health care provider with primary practice located at 1433 W Flournoy St Apt 3F , Chicago IL 60607-3213. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Diaz, Juan Carlos can be contacted via phone (786) 658-0280.

Contact Information

Primary practice address
1433 W Flournoy St Apt 3F Chicago IL 60607-3213
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 238000684 Illinois

Profile Details

NPI number 1508482027
LBN Legal business name Diaz, Juan Carlos
Credentials CSA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2020
Last updated Jun 20th, 2020 - about 4 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.

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