Diaz, Maryam A

Diaz, Maryam A is an individual health care provider with primary practice located at 1801 W Taylor St Ste 1C , Chicago IL 60612-4795. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Diaz, Maryam A can be contacted via phone (312) 413-3631.

Contact Information

Primary practice address
1801 W Taylor St Ste 1C Chicago IL 60612-4795
Phone: (312) 413-3631
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 041407865 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209019748 Illinois

Profile Details

NPI number 1891356721
LBN Legal business name Diaz, Maryam A
Credentials DNP FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2019
Last updated Dec 5th, 2024 - about 2 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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