Individual provider · Type 1 NPI
Elizabeth P. Diaz, MD
Pediatric Nurse Practitioner · Chicago, IL
NPI number
1013004639
Active
Practice location
7447 W Talcott Ave, Suite 269
Chicago, IL 60631-3745
Fax (773) 792-2776
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 036059322 (IL) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1013004639
Elizabeth P. Diaz, MD's National Provider Identifier is 1013004639, issued on Oct 6, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Chicago, IL. The record was last updated on Mar 7, 2023.