Basic Information
| Provider Information | |||||||||
| NPI: | 1598991218 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | ILINSKIY | ||||||||
| FirstName: | DIANA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 680 N LAKE SHORE DRIVE | ||||||||
| Address2: | SUITE 1000 | ||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606118709 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3126950665 | ||||||||
| FaxNumber: | 3126956594 | ||||||||
| Practice Location | |||||||||
| Address1: | 800 N WESTMORELAND RD STE 102 | ||||||||
| Address2: | |||||||||
| City: | LAKE FOREST | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600451687 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8475357181 | ||||||||
| FaxNumber: | 8475357184 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/09/2009 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 036.126092 | IL | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 036126092 | IL | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.