Active NPI
Lucero Diaz, MD
- Obstetrics & Gynecology Physician
- Orland Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 036170987
- Practice address
- 15300 West Ave Ste 120
Orland Park, IL 60462-4508 - Phone
- (708) 590-5304
- Fax
- (708) 590-5308
- NPI assigned
- Mar 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036170987 | IL | Primary |
Addresses
Primary practice location
15300 West Ave Ste 120
Orland Park, IL 60462-4508
Mailing address
15300 West Ave Ste 120
Orland Park, IL 60462-4508
Phone (708) 590-5304
Other practice location 1
21202 Owens Rd Ste 300
Mokena, IL 60448-2038
Phone (779) 334-0010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15300 W Ave
Suite 120
Orland Park, IL 60462-4508
Phone (708) 590-5304
Hospital & facility affiliations
- Northwestern Medicine Central Dupage Hospital
- Palos Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Physician Group | Current | Accepting new patients | |
| Central Dupage Physician Group | Current | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
Carol Stream, IL 60122
Phone (630) 933-3300
21202 Owens Rd
Ste 300
Mokena, IL 60448
Phone (779) 334-0010
15300 West Ave
Ste 120
Orland Park, IL 60462
Phone (708) 460-7890
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- Psychiatric Hospital Unit
- Palos Heights, IL
- NPI 1184699118
-
- General Acute Care Hospital
- Palos Heights, IL
- NPI 1851386692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1801422704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15300 WEST AVE STE 120",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604624508",
"telephone_number": "708-590-5304",
"fax_number": "708-590-5308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15300 WEST AVE STE 120",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604624508",
"telephone_number": "708-590-5304",
"fax_number": "708-590-5308"
}
],
"practiceLocations": [
{
"address_1": "21202 Owens Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Mokena",
"state": "IL",
"postal_code": "604482038",
"country_code": "US",
"telephone_number": "779-334-0010",
"fax_number": "779-334-0011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIAZ",
"first_name": "LUCERO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-23",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036170987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.