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

Stephen Peter Diaz

Individual provider Physical Therapy Assistant · NPI 1174238000

Stephen Peter Diaz is a Physical Therapy Assistant in Lake Bluff, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2023

Practice location Address checks out

29330 N Waukegan Rd
Lake Bluff, IL 60044-5422
Phone: (224) 202-6732
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160005414 (IL)

Record details

NPI number1174238000
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 16, 2023
Last updated in NPPESJanuary 16, 2023
Certification dateJanuary 15, 2023
Mailing address7156 Pennsbury Ln, Gurnee, IL 60031-9113

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