Dizon-Menezes, Dianella V

Dizon-Menezes, Dianella V is an sole proprietor health care provider with primary practice located at 8311 W Roosevelt Rd Advanced Psychiatric Services, Forest Park IL 60130. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Dizon-Menezes, Dianella V can be contacted via phone (708) 488-4968.

Contact Information

Primary practice address
8311 W Roosevelt Rd Advanced Psychiatric Services Forest Park IL 60130
Phone: (708) 488-4968
Fax: (708) 366-1017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036056061 Illinois

Profile Details

NPI number 1932376167
LBN Legal business name Dizon-Menezes, Dianella V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2008
Last updated May 16th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932376167 NPPES
Illinois MEDICAID 036056061

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