Edward Clare Diaz, MD | |
1675 Dempster St Fl 3, Park Ridge, IL 60068-1110 | |
(847) 297-8700 | |
Not Available |
Full Name | Edward Clare Diaz |
---|---|
Gender | Male |
Speciality | Urology |
Location | 1675 Dempster St Fl 3, Park Ridge, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922274620 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 57.013244 (Ohio) | Secondary |
208800000X | Urology | 036131931 (Illinois) | Primary |
Entity Name | Stanford Health Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348 |
Entity Name | Childrens Hospital Los Angeles Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265530653 PECOS PAC ID: 0143126920 Enrollment ID: O20031211000522 |
Entity Name | Lpch Medical Group Div Of Lucile |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232 |
Mailing Address | Practice Location Address |
---|---|
Edward Clare Diaz, MD 29373 Network Pl, Chicago, IL 60673-0001 Ph: (847) 390-5900 | Edward Clare Diaz, MD 1675 Dempster St Fl 3, Park Ridge, IL 60068-1110 Ph: (847) 297-8700 |
Thomas L Cottrell, M.D. Urology Medicare: Medicare Enrolled Practice Location: 2 W Talcott Rd, Ste 11, Park Ridge, IL 60068 Phone: 847-318-5500 Fax: 847-318-1567 | |
Dr. David Aaron Rebuck, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 350 S Northwest Hwy Ste 106, Park Ridge, IL 60068 Phone: 847-470-1500 Fax: 847-470-1550 | |
Dr. Kareem Alazem, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 350 S Northwest Hwy Ste 106, Park Ridge, IL 60068 Phone: 847-470-1500 Fax: 847-470-1550 | |
Mark T Brandt, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 350 S Northwest Hwy Ste 106, Park Ridge, IL 60068 Phone: 847-470-1500 Fax: 847-470-1550 | |
Robert S Kaplinsky, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 350 S Northwest Hwy Ste 106, Park Ridge, IL 60068 Phone: 847-470-1500 Fax: 847-470-1550 |