Provider Demographics
NPI:1164436275
Name:SCHAAR, DIANE H (MD)
Entity Type:Individual
Prefix:DR
First Name:DIANE
Middle Name:H
Last Name:SCHAAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 GRAYMOOR LN
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA FIELDS
Mailing Address - State:IL
Mailing Address - Zip Code:60461-1209
Mailing Address - Country:US
Mailing Address - Phone:708-748-3969
Mailing Address - Fax:
Practice Address - Street 1:2315 E 93RD ST
Practice Address - Street 2:ROOM 200
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60617-3936
Practice Address - Country:US
Practice Address - Phone:773-734-3970
Practice Address - Fax:773-734-6832
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036059627208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILE72917Medicare UPIN