Iwanik, Diana O.

Iwanik, Diana O. is an individual health care provider with primary practice located at 7435 W. Talcott Avenue Presence Rmc, Radiology Department, Chicago IL 60631-3745. She recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Iwanik, Diana O. can be contacted via phone (773) 990-7684.

Contact Information

Primary practice address
7435 W. Talcott Avenue Presence Rmc, Radiology Department Chicago IL 60631-3745
Phone: (773) 990-7684
Fax: (773) 792-5124
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X 036072868 Illinois
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036072868 Illinois
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 036072868 Illinois
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 036072868 Illinois
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 036072868 Illinois
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 036072868 Illinois

Profile Details

NPI number 1902824915
LBN Legal business name Iwanik, Diana O.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Mar 31st, 2021 - about 5 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 1902824915 NPPES
Illinois MEDICAID 036072868-2
Illinois Other 0001619902
Illinois MEDICAID 036072868

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