Provider Demographics
NPI:1619329380
Name:PLATA, DIANA MARGARITA (MD)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:MARGARITA
Last Name:PLATA
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 1:1410 N ARLINGTON HEIGHTS RD STE 200
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-4827
Mailing Address - Country:US
Mailing Address - Phone:847-618-1640
Mailing Address - Fax:847-618-1649
Practice Address - Street 1:1410 N ARLINGTON HEIGHTS RD STE 200
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-4827
Practice Address - Country:US
Practice Address - Phone:847-618-1640
Practice Address - Fax:847-618-1649
Is Sole Proprietor?:No
Enumeration Date:2016-07-06
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.149826207R00000X
IL036-149826207RS0012X
IL036149826207RB0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RB0002XAllopathic & Osteopathic PhysiciansInternal MedicineObesity Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036149826OtherSTATE LICENSE