IndividualActive
Diana Mnatsakanova, M.D.
NPI 1124394127 · Clinical Neurophysiology Physician · Chicago, IL
Provider details
- NPI number
- 1124394127
- Entity type
- Individual
- Primary specialty
- Clinical Neurophysiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 036146766 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1801 W Taylor St
Chicago, IL 60612-4795
Phone: (312) 996-6496
Approximate (ZIP-level) locationGet directions
Mailing address
200 Hawkins Dr Dept of
Iowa City, IA 52242-1009
Registry dates
- Enumerated
- 2012-03-24
- Last updated
- 2018-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.