Dr Tahyri Diaz Sujo, MD is a medicare enrolled "Family Medicine" in Chicago, Illinois. Her current practice location is
1950 W Polk St, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at
(312) 864-0390.
Dr Tahyri Diaz Sujo is licensed to practice in Illinois (license number 125.082431) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1841823630.
Provider's Profile
Full Name | Dr Tahyri Diaz Sujo |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 1950 W Polk St, 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: 1841823630
- Provider Enumeration Date: 02/19/2020
- Last Update Date: 06/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 2860851789
- Enrollment ID: I20230710002096
Medical Identifiers
Medical identifiers for Dr Tahyri Diaz Sujo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841823630 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WH0200X | Registered Nurse - Home Health | 831764 (Texas) | Secondary |
163WI0500X | Registered Nurse - Infusion Therapy | 831764 (Texas) | Secondary |
163WW0000X | Registered Nurse - Wound Care | 831764 (Texas) | Secondary |
163WX1500X | Registered Nurse - Ostomy Care | 831764 (Texas) | Secondary |
207Q00000X | Family Medicine | 125.082431 (Illinois) | 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 Tahyri Diaz Sujo 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 Tahyri Diaz Sujo, MD 1950 W Polk St, Chicago, IL 60612-3723 Ph: () - | Dr Tahyri Diaz Sujo, MD 1950 W Polk St, Chicago, IL 60612-3723 Ph: (312) 864-0390 |
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