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Paul Diaz
Other Technician in Chicago, Illinois
NPI 1013360429

Paul Diaz is a Other Technician based in Chicago, IL. Paul Diaz practices in Chicago, IL. The NPI Number for Paul Diaz is 1013360429 and holds a License No. 001159 (Illinois).

The current practice location address for Paul Diaz is 2133 W Lexington St, Chicago, IL and can be reached out via phone at 312-746-7824 and via fax at 312-746-6526.

Location: 2133 W Lexington St, Chicago, IL, 60604-3900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013360429
Provider Name
Paul Diaz
Credential
Provider Entity Type
Individual
Gender
Male
Address
2133 W Lexington St, Chicago, IL, 60604-3900
Phone Number
312-746-7824
Fax Number
312-746-6526
Provider Enumeration Date
07/20/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001159 01 IL IDPHLICENSE
institution
Provider Business Practice Location Address Details
Address
2133 W Lexington St
City
Chicago
State
Illinois
Zip
60612-3707
Phone Number
312-746-7824
Fax Number
312-746-6526
person
Provider Business Mailing Address Details
Address
2133 W Lexington St
City
Chicago
State
Illinois
Zip
60612-3707
Phone Number
312-746-7824
Fax Number
312-746-6526
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Other
Speciality
-
Taxonomy
247200000X
License No.
001159 (Illinois)
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
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