Irish, Diane

Irish, Diane is an sole proprietor health care provider with primary practice located at 1357 W 103Rd St , Chicago IL 60643-2392. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Irish, Diane can be contacted via phone (773) 238-0800.

Contact Information

Primary practice address
1357 W 103Rd St Chicago IL 60643-2392
Phone: (773) 238-0800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149014567 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 041-492306 Illinois

Profile Details

NPI number 1235520404
LBN Legal business name Irish, Diane
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2015
Last updated Dec 21st, 2023 - 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.

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