| Kazandra Diaz, | |
|
5524 W Cermak Rd Ste 2, Cicero, IL 60804-2217 | |
| (708) 298-0766 | |
| Not Available |
| Full Name | Kazandra Diaz |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 5524 W Cermak Rd Ste 2, Cicero, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881347748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085.009814 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Macneal Hospital | Berwyn, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oak Street Health Physicians Group Pc | 7517109879 | 227 |
| Entity Name | Oak Street Health Physicians Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083051643 PECOS PAC ID: 7517109879 Enrollment ID: O20130815000670 |
| Mailing Address | Practice Location Address |
|---|---|
| Kazandra Diaz, Po Box 746715, Atlanta, GA 30374-6715 Ph: (773) 352-1515 | Kazandra Diaz, 5524 W Cermak Rd Ste 2, Cicero, IL 60804-2217 Ph: (708) 298-0766 |
Melissa Munoz, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3040 S Cicero Ave, Cicero, IL 60804 Phone: 708-780-9777 |
Katrina Sam, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5741 W Cermak Rd, Cicero, IL 60804 Phone: 708-222-0100 |
Atzel Albino Martinez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5741 W Cermak Rd, Cicero, IL 60804 Phone: 708-222-0100 |
Tamika Latoya Hobson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5909 W 35th St, Cicero, IL 60804 Phone: 708-652-2040 |
Nicole Elizabeth Kula, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5741 W Cermak Rd, Cicero, IL 60804 Phone: 708-222-0100 |
Andrew Montoya, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5741 W Cermak Rd, Cicero, IL 60804 Phone: 708-222-0100 |
Ivette Camacho, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5857 W 35th St, Cicero, IL 60804 Phone: 773-490-3514 |