MICHELLE DIAZ PTA NPI 1902447469

NPI Information

NPI: 1902447469
Provider Name: MICHELLE DIAZ, PTA
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3309 N OCONTO AVE
CHICAGO, IL
ZIP 60634
Phone: (773) 895-0753
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Michelle Diaz, PTA is a mental health counselor in Chicago, IL. Michelle Diaz, PTA NPI is 1902447469. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3309 N OCONTO AVE
CHICAGO, IL
ZIP 60634-536
Phone: (773) 895-0753

The enumeration date for this NPI number is 10/4/2019 and was last updated on 4/16/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes
2	225200000X	Physical Therapy Assistant				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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