MEDICARE: DR. DIANA ANDREA CHIRINOS-DOWNIE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	071.010766	IL

General Provider Information

NPI Number	:	1225725229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DIANA ANDREA CHIRINOS-DOWNIE

Provider Business Mailing Address
First Line	:	5916 CUMNOR RD
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60516-2021
Country	:	US
Telephone Number	:	786-303-4704
Fax Number	:

Provider Business Practice Location Address
First Line	:	5916 CUMNOR RD
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60516-2021
Country	:	US
Telephone Number	:	786-303-4704
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2023
Last Update Date	:	04/19/2023

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