| Lorenzo Joaquin Diaz, DO | |
|
2160 S 1st Ave, Maywood, IL 60153-3328 | |
| (872) 231-3162 | |
| Not Available |
| Full Name | Lorenzo Joaquin Diaz |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 2160 S 1st Ave, Maywood, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194344663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 036176144 (Illinois) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | OS19778 (Florida) | Secondary |
| Entity Name | Integrated Rehab Consultants Florida Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245700244 PECOS PAC ID: 4486997426 Enrollment ID: O20190515001526 |
| Mailing Address | Practice Location Address |
|---|---|
| Lorenzo Joaquin Diaz, DO Po Box 74008272, Chicago, IL 60674-8272 Ph: (702) 899-0595 | Lorenzo Joaquin Diaz, DO 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (872) 231-3162 |
Raghuvansh Kumar, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 872-231-3162 Fax: 708-481-2917 | |
Stacey Anne Bennis, M.D., CAQ-SM Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave Ste 1700, Maywood, IL 60153 Phone: 888-584-7888 | |
Aaron Stachowiak, Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Colleen Fitzgerald, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Bld 103/1014, Maywood, IL 60153 Phone: 708-216-2170 Fax: 708-216-2171 | |
Hugh Mcdermott, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-3000 | |
Prempreet Singh Bajaj, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-6705 Fax: 708-216-6223 |