Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 036-057377 | IL |
NPI | 1093931677 |
---|---|
Provider Name | Dr. Dianne M Sawyer |
First Address | Chicago, IL 60611 |
Second Address | Chicago, IL 60611 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2007 |
Last Update Date | 28/09/2015 |