Provider Demographics
NPI:1093931677
Name:SAWYER, DIANNE M (MD)
Entity Type:Individual
Prefix:DR
First Name:DIANNE
Middle Name:M
Last Name:SAWYER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:680 N. LAKE SHORE DRIVE
Mailing Address - Street 2:SUITE 824
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611
Mailing Address - Country:US
Mailing Address - Phone:312-943-3300
Mailing Address - Fax:312-266-4591
Practice Address - Street 1:680 N. LAKE SHORE DRIVE
Practice Address - Street 2:SUITE 824
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611
Practice Address - Country:US
Practice Address - Phone:312-943-3300
Practice Address - Fax:312-266-4591
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2015-09-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036-057377207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology