Iwanik, Diana O.
Iwanik, Diana O. is an individual health care provider with primary practice located at 7435 W. Talcott Avenue Presence Rmc, Radiology Department, Chicago IL 60631-3745. She recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Iwanik, Diana O. can be contacted via phone (773) 990-7684.Contact Information
Primary practice address
7435 W. Talcott Avenue Presence Rmc, Radiology Department
Chicago IL 60631-3745
Phone: (773) 990-7684
Fax: (773) 792-5124
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 036072868 | Illinois |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 036072868 | Illinois |
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 036072868 | Illinois |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 036072868 | Illinois |
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | 036072868 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 036072868 | Illinois |
Profile Details
| NPI number | 1902824915 |
|---|---|
| LBN Legal business name | Iwanik, Diana O. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Mar 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902824915 | NPPES |
| Illinois | MEDICAID | 036072868-2 | |
| Illinois | Other | 0001619902 | |
| Illinois | MEDICAID | 036072868 |
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