Diamond Headache Clinic LTD

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

DIAMOND HEADACHE CLINIC LTD

Practice address

1460 N Halsted St Ste 501
Chicago, IL 60642-2615

Phone

(773) 388-6390

Fax

(312) 867-7101

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Merle L Diamond, MD

Title

Managing Director

Phone

(773) 388-6390

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Betsy Pepper, MD

  • Specialist
  • Chicago, IL
  • NPI 1437141223
  NPD
• Elizabeth Barnes

  • Nurse Practitioner
  • Willowbrook, IL
  • NPI 1639918923
  NPD (past)
• Kristin Rose Lucente, APN-CNP

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1043778731
  NPD (past)
• Shana Christine Warda, PA-C

  • Physician Assistant
  • Chicago, IL
  • NPI 1710572052
  NPD (past)
• Caroline Wright, PA-C

  • Physician Assistant
  • Arlington Heights, IL
  • NPI 1295553626
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514246400000",
    "number": "1912027665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 N HALSTED ST STE 501",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422615",
            "telephone_number": "773-388-6390",
            "fax_number": "312-867-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 N HALSTED ST STE 501",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422615",
            "telephone_number": "773-388-6390",
            "fax_number": "312-867-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND HEADACHE CLINIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2017-12-26",
        "status": "A",
        "authorized_official_last_name": "DIAMOND",
        "authorized_official_first_name": "MERLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "773-388-6390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1616611",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dialysis Newco LLC
• Antonios Anthony Diamantopoulos, M.D.
• Nicholas James Diamantopoulos, MD
• Diamond Dialysis Inc.
• Diamond Electric Contracting Inc.
• Ann Diamond, PSY.D.
• Jennifer Diamond, LCSW
• Jennifer Diamond, PHD
• Katherine Eileen Diamond, CRNA
• Louis Diamond, LCSW CADC

• Specialist in Chicago, IL
• Providers in Chicago, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.