Individual
DIANE SOWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1700 W VAN BUREN ST, CHICAGO, IL 60612-5500
(312) 942-5212
(312) 942-5203
Mailing address
15 CHRISTINA CIR, WHEATON, IL 60189-3109
(312) 942-5212
(312) 942-5203
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
164.001329
IL
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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