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

Maryam A Diaz, DNPFNP-BC

Individual provider General Practice Registered Nurse · NPI 1891356721

Maryam A Diaz, DNPFNP-BC is a Nurse Practitioner in Chicago, Illinois. Qualified in 2019, 7 years ago. Practices with The Board of Trustees of the University of Illinois, a 1,142-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1801 W Taylor St Ste 1C
Chicago, IL 60612-4795
Phone: (312) 413-3631
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209019748 (IL)
General Practice Registered Nurse Taxonomy 163WG0000X · Licence 041407865 (IL)

Record details

NPI number1891356721
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNPFNP-BC
Sole proprietorNo
NPI enumeratedJune 21, 2019
Last updated in NPPESDecember 5, 2024
Certification dateDecember 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice The Board Of Trustees Of The University Of Illinois — 1142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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