Diego Almeida De Souza
Psychiatry & Neurology, Neurology in Maywood, IL. Individual provider (NPI-1).
NPI number1760379895
StatusActive
Last updated in NPPESJun 20, 2025
Details
- NPI
- 1760379895
- Entity type
- Individual (NPI-1)
- Name
- Diego Almeida De Souza
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 20, 2025
- Certification date
- Jun 20, 2025
- Last updated
- Jun 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | 125085289 | IL | Yes |
Practice location
2160 S 1st AveMaywood, IL 60153-3328
Phone 708-216-2687
Mailing address
435 S Grove Ave Apt 3sOak Park, IL 60302-4905
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