MEDICARE: ITZEL DIAZ

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	1041C0700X	Clinical Social Worker	150.114266	IL

General Provider Information

NPI Number	:	1821805581
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ITZEL DIAZ

Provider Business Mailing Address
First Line	:	1454 W BLACKHAWK ST APT G
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60642-8135
Country	:	US
Telephone Number	:	812-679-8552
Fax Number	:

Provider Business Practice Location Address
First Line	:	1454 W BLACKHAWK ST APT G
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60642-8135
Country	:	US
Telephone Number	:	812-679-8552
Fax Number	:

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

Provider Enumeration Date	:	12/16/2024
Last Update Date	:	12/16/2024

Similar Medicare Providers

1972459352 — SERENA JEFFERSON-JACKSON
Practice Location Address:

PO BOX 528135
CHICAGO, IL
60652-8135

Practice Phone: 630-426-8963
Practice Fax:

1609693746 — BRIANNA ZIELKE LCSW
Practice Location Address:

1502 W CHICAGO AVE
CHICAGO, IL
60642-5236

Practice Phone: 312-339-8604
Practice Fax:

1578401071 — SAMUEL CHEN
Practice Location Address:

925 W HURON ST APT 409
CHICAGO, IL
60642-5989

Practice Phone: 978-460-4202
Practice Fax:

1720926223 — CAMERON ROORDA DPT
Practice Location Address:

1443 W WABANSIA AVE # 1S
CHICAGO, IL
60642-1523

Practice Phone: 219-934-7274
Practice Fax: 773-943-6384

1649045014 — MS. LAUREN NICOLE LOMBARDO MA, BCBA
Practice Location Address:

1765 N ELSTON AVE STE 202
CHICAGO, IL
60642-1501

Practice Phone: 773-630-4400
Practice Fax:

1750238143 — LISETTE MELENDRES LPC
Practice Location Address:

770 N HALSTED ST STE 105
CHICAGO, IL
60642-7886

Practice Phone: 312-626-7401
Practice Fax:

Directions to “ ITZEL DIAZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.