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General NPI Number Information
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NPI Number | 1972783116
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Entity Type | Individual
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Provider Name | ANTHONY D DIAZ DO
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Gender | Male
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Dates
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Enumeration Date | 11/05/2007
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 800 BIESTERFIELD RD DEPT OF ANESTHESIA
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City | ELK GROVE VILLAGE
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State | IL
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Zip | 60007-3361
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Country | US
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Telephone | 847-437-5500
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Fax | 847-981-5589
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Provider Business Mailing Address
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Address Line | 4330 DEPARTMENT
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City | CAROL STREAM
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State | IL
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Zip | 60122-0001
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Country | US
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Telephone | 847-495-1603
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Fax | 847-537-4866
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 1103-321
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 036113977
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License Number State | IL
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