Diaz, Viviana Andrea

Diaz, Viviana Andrea is an sole proprietor health care provider with primary practice located at 3450 W Maple St , Evergreen Park IL 60805-3043. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Diaz, Viviana Andrea can be contacted via phone (773) 234-4214.

Contact Information

Primary practice address
3450 W Maple St Evergreen Park IL 60805-3043
Phone: (773) 234-4214
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 178008741 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 178.008741 Illinois

Profile Details

NPI number 1548671506
LBN Legal business name Diaz, Viviana Andrea
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2014
Last updated Feb 1st, 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.

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