Provider Demographics
NPI:1548881709
Name:RAMIREZ DIAZ, TAINE (MD)
Entity type:Individual
Prefix:MS
First Name:TAINE
Middle Name:
Last Name:RAMIREZ DIAZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:808 S WOOD ST STE 888
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-7300
Mailing Address - Country:US
Mailing Address - Phone:312-996-6732
Mailing Address - Fax:312-413-1657
Practice Address - Street 1:808 S WOOD ST STE 888
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-7300
Practice Address - Country:US
Practice Address - Phone:312-996-6732
Practice Address - Fax:312-413-1657
Is Sole Proprietor?:No
Enumeration Date:2020-04-29
Last Update Date:2023-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program