Individual provider · Type 1 NPI
Jacob Diaz, DPM
Foot & Ankle Surgery Podiatrist · Chicago, IL
NPI number
1922801067
Active
Practice location
836 W Wellington Ave
Chicago, IL 60657-5147
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 135.001250 (IL) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1922801067
Jacob Diaz, DPM's National Provider Identifier is 1922801067, issued on Mar 31, 2025. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Chicago, IL. The record was last updated on Jun 17, 2025.