Stephen Peter Diaz

Physical Therapy Assistant · Lake Bluff, IL

Individual Active NPI

NPI number 1174238000

Practice location

29330 N Waukegan Rd
Lake Bluff, IL 60044-5422
Phone
(224) 202-6732

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NPI record

NPI
1174238000
Entity type
Individual (Type 1)
Enumeration date
January 16, 2023
Last updated
January 16, 2023
Certified
January 15, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 160005414 IL

Mailing address

7156 Pennsbury Ln
Gurnee, IL 60031-9113
Phone
(847) 530-7543

About Stephen Diaz

Stephen Peter Diaz is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 29330 N Waukegan Rd, Lake Bluff, IL 60044-5422. The NPI number 1174238000 was assigned on January 16, 2023 and the record was last updated on January 16, 2023.

Stephen Diaz lists a license in the registry: #160005414 (IL) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stephen Peter Diaz?

The NPI number is 1174238000.

What is the phone number of Stephen Diaz?

The phone number listed for the practice location is (224) 202-6732.

Where is Stephen Diaz located?

29330 N Waukegan Rd, Lake Bluff, IL 60044-5422.

What is the taxonomy code for Stephen Diaz?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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