Mia Monique Diaz

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

38725 N Hilltop Ave
Antioch, IL 60002-9632

Phone

(815) 751-3527

NPI assigned

Oct 9, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1861273658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38725 N HILLTOP AVE",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600029632",
            "telephone_number": "815-751-3527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38725 N HILLTOP AVE",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600029632",
            "telephone_number": "815-751-3527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "MIA",
        "middle_name": "MONIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Cretors, O.D.
• Amy Lis Dangel, OTR/L
• Kirsten Deacetis, MPH, CCC, SLP/L
• Dental Professionals of Illinois, P.C
• John J Devaney Jr., MD
• Mekson H Din
• Alexandra J Dollinger, M.A., CCC, SLP/L
• Lora Dolman
• Donald L Bennett, D.D.S., P.C.
• Grace Victoria Dorog, RPT

• All providers in Antioch, IL
• Health & Wellness Coach in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.