LORENZO JOAQUIN DIAZ

MAYWOOD, IL
NPI1194344663
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: IL  036176144)
Additional Taxonomies208100000X Physical Medicine & Rehabilitation
(Licence: FL  OS19778)
Enumeration Date2020-04-14
Last Update Date2025-10-07
Business Address
LORENZO JOAQUIN DIAZ DO
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 872-231-3162
Mailing Address
LORENZO JOAQUIN DIAZ DO
PO BOX 74008272
CHICAGO, IL 60674-8272
Phone number: 702-899-0595
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