JACQUELINE DIAZ FNP-BC
NPI 1871487181
Nurse Practitioner - Family in Blue Island, IL

Active since June 03, 2025
2338 NEW ST, BLUE ISLAND, IL 60406(708) 577-5060 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline Diaz Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE DIAZ FNP-BC (NPI 1871487181) is an individual family provider in Blue Island, Illinois, licensed in Illinois (209.031702) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1871487181
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACQUELINE DIAZCredential: FNP-BC
Location Address2338 NEW STBlue Island, IL 60406-2402
Mailing Address1929 W 21st PlChicago, IL 60608-4201 · (312) 868-2454
Sole ProprietorNo
Enumeration DateJune 3, 2025
NPPES CertifiedJune 3, 2025
NPI 1871487181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209.031702
2338 NEW ST, Blue Island, IL 60406

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
2338 NEW ST
BLUE ISLAND, IL 60406
Physician Assistant (Medical)
2338 NEW ST
BLUE ISLAND, IL 60406

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Diaz's NPI number?

The NPI number for Jacqueline Diaz is 1871487181. It was assigned to this individual provider in the NPPES registry on June 3, 2025.

Where is Jacqueline Diaz located?

Jacqueline Diaz practices at 2338 New St, Blue Island, IL 60406. The listed phone number is (708) 577-5060.

What is Jacqueline Diaz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Diaz was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.