Individual provider · Type 1 NPI
Michelle Diaz, PTA
Professional Counselor · Chicago, IL
NPI number
1902447469
Active
Practice location
3309 N Oconto Ave
Chicago, IL 60634-3536
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor Primary | 101YP2500X | 180015525 (IL) |
| Physical Therapy Assistant | 225200000X | None listed |
Professional Counselor: Definition to come...
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About NPI 1902447469
Michelle Diaz, PTA's National Provider Identifier is 1902447469, issued on Oct 4, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Jun 10, 2026.