Healthcare Provider Details

I. General information

NPI: 1659207736
Provider Name (Legal Business Name): KARINA DIAZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 N HIGHLAND AVE
AURORA IL
60506-1449
US

IV. Provider business mailing address

1325 N HIGHLAND AVE
AURORA IL
60506-1449
US

V. Phone/Fax

Practice location:
  • Phone: 630-801-3122
  • Fax: 630-801-2626
Mailing address:
  • Phone: 630-801-3122
  • Fax: 630-801-2626

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number150.104808
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: