Jessika Diaz Michael M.D.

NPI 1679849111 - Anesthesiology - 207L00000X

NPI Details
NPI 1679849111
Gender Female
Enumeration Date 03/29/2012
Last Updated 03/29/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
355 RIDGE AVE
ST. FRANCIS HOSPITAL
EVANSTON IL, 60202-3328, US
Phone (847) 316-4000
Fax
Business Location
1720 S MICHIGAN AVE
2110
CHICAGO IL, 60616-1465, US
Phone (714) 749-0907
Fax
Toxanomy
Taxonomy Code 207L00000X
License State Illinois
License Number 125.059448
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According to our database, Dr. Jessika Diaz Michael M.D. NPI is 1679849111, taxonomy code is 207L00000X and license number is 125.059448, license state is located at Illinois. Jessika Diaz Michael M.D. physically located at 355 Ridge Ave, Evanston IL, 60202-3328. NPI Number Jessika Diaz Michael M.D. has the Individual type.

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1679849111 NPI number is provided on an as is basis without warranty of any kind. 1679849111 is maintained by the National Plan & Provider Enumeration System. The contents of Jessika Diaz Michael M.D. are for informational purposes only.