Diamond, Ilysa R

Diamond, Ilysa R is an sole proprietor health care provider with primary practice located at 1010 Lake St Ste 424 , Oak Park IL 60301-1185. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Diamond, Ilysa R can be contacted via phone (708) 613-4417.

Contact Information

Primary practice address
1010 Lake St Ste 424 Oak Park IL 60301-1185
Phone: (708) 613-4417
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036120184 Illinois

Profile Details

NPI number 1356596332
LBN Legal business name Diamond, Ilysa R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2008
Last updated Aug 2nd, 2023 - 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.

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