Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jacob Diaz, DPM

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1922801067

Dr. Jacob Diaz, DPM is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2025
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

836 W Wellington Ave
Chicago, IL 60657-5147
Phone: (708) 304-9700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 135.001250 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1922801067
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedMarch 31, 2025
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025
Mailing address836 W Wellington Ave, Chicago, IL 60657-5147

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