| Patricia Diaz, FNP-BC APN | |
|
0n620 West Street, Wheaton, IL 60187 | |
| (630) 653-4046 | |
| Not Available |
| Full Name | Patricia Diaz |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 0n620 West Street, Wheaton, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811357544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209013985 (Illinois) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | 209013985 (Illinois) | Secondary |
| Entity Name | County Of Lake |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164446712 PECOS PAC ID: 7214838861 Enrollment ID: O20040116000192 |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Diaz, FNP-BC APN Po Box 222, Wheaton, IL 60187 Ph: (630) 653-4046 | Patricia Diaz, FNP-BC APN 0n620 West Street, Wheaton, IL 60187 Ph: (630) 653-4046 |
Ms. Tanya Stann, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7 Blanchard Cir Ste 102, Wheaton, IL 60189 Phone: 630-682-0500 Fax: 630-682-1078 | |
Theresa M Wojciak, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7 Blanchard Cir Ste 202, Wheaton, IL 60189 Phone: 630-653-4526 Fax: 630-208-7937 | |
Kristina Indira Midha, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 26w171 Roosevelt Rd, Wheaton, IL 60187 Phone: 630-909-7000 Fax: 630-909-7002 | |
Ancy Zacharia, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 N Main St, Second Floor, Wheaton, IL 60187 Phone: 630-614-4960 Fax: 630-682-3727 | |
Jin-a Kim, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1325 Manchester Rd, Wheaton, IL 60187 Phone: 630-668-2500 | |
Mrs. Heidi M Mathew, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 N Main St, Wheaton, IL 60187 Phone: 630-614-4960 Fax: 630-682-3727 | |
Catherine M Moroni, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 55 E Loop Rd, Suite 301, Wheaton, IL 60189 Phone: 630-690-7300 Fax: 630-690-7335 |