Eliza Diaconescu, M.D.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

036084312 Issued in IL

Practice address

15 Tower CT
Ste 140
Gurnee, IL 60031-3338

Phone

(847) 672-4543

Fax

(847) 249-3001

NPI assigned

Mar 28, 2006

Sex

Female

Sole proprietor

No

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ediaconescu234702@direct.myadvocateaurora.org

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.

• Lake Shore Therapy Center, Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Chicago, IL
  • NPI 1538356233
  NPD (past) Authorized official
• Professional Health Sport, Inc.

  • General Practice Physician
  • Chicago, IL
  • NPI 1063632917
  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525392000000",
    "number": "1881655140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 TOWER CT",
            "address_2": "STE 140",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313338",
            "telephone_number": "847-672-4543",
            "fax_number": "847-249-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 TOWER CT",
            "address_2": "STE 140",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313338",
            "telephone_number": "847-672-4543",
            "fax_number": "847-249-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIACONESCU",
        "first_name": "ELIZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2018-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036084312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Deyoung
• Hosep H Deyrmenjian, M.D.
• Swetha Dhanireddy, MD
• Inderpreet Dhillon, PHARMD
• Diabetes Osteoporosis Thyroid Endocrine Center LLC
• Jaime Dickinson
• Salima Din, MD
• Jessie L. Dinelli, NP
• Dionisio B. Yorro, J.R.,M.D.,S.C.
• William Elemoen Dixon, LCSW

• Pain Medicine (Anesthesiology) Physician in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Pain Medicine (Anesthesiology) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.