| 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 | |
Hudson Pierce, Urology Medicare: Not Enrolled in Medicare Practice Location: 350 S Northwest Hwy Ste 106, Park Ridge, IL 60068 Phone: 847-470-1500 | |
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 | |
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 |