NPI 1013360429

Paul Diaz

Practitioner Other Technician Chicago, IL

Practice location

Address: 2133 W Lexington St, Chicago, IL 60612-3707
Phone: (312) 746-7824
Fax: (312) 746-6526
Mailing address: 333 S State St, Chicago, IL 60604-3900

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence 001159 (IL)

Other Technician, Other providers in Illinois →

Registry record

NPI: 1013360429
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jul 2016
Record last updated: 20 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.