Dr Adrian Diaz, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Chicago, Illinois. His current practice location is
5841 S Maryland Ave, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at
(614) 293-4063.
Dr Adrian Diaz is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1740714377.
Physician's Profile
Full Name | Dr Adrian Diaz |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 5841 S Maryland Ave, Chicago, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1740714377
- Provider Enumeration Date: 04/20/2017
- Last Update Date: 07/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 5698046761
- Enrollment ID: I20170808001677
Medical Identifiers
Medical identifiers for Dr Adrian Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740714377 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 036.168606 (Illinois) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Adrian Diaz is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Adrian Diaz, 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 Ph: () - | Dr Adrian Diaz, 5841 S Maryland Ave, Chicago, IL 60637-1443 Ph: (614) 293-4063 |
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