Diamond, Mark D

Diamond, Mark D is an individual health care provider with primary practice located at 2100 Glenwood Ave , Joliet IL 60435-5487. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Diamond, Mark D can be contacted via phone (815) 725-2121.

Contact Information

Primary practice address
2100 Glenwood Ave Joliet IL 60435-5487
Phone: (815) 725-2121
Fax: (815) 744-3117
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036091440 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036091440 Illinois

Profile Details

NPI number 1265402804
LBN Legal business name Diamond, Mark D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Aug 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265402804 NPPES
Illinois MEDICAID 036091440

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