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Individual

DIANE P SAVARESE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
635 N DEARBORN ST STE 100, CHICAGO, IL 60654-4618
(312) 694-2273
(312) 694-2129
Mailing address
635 N DEARBORN ST STE 100, CHICAGO, IL 60654-4618
(312) 694-2273
(312) 694-2129

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
085.008128
IL
363A00000X
Physician Assistant
Primary
085008128
IL
363A00000X
Physician Assistant
PA61366311
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2223019
WA
Enumeration date
02/03/2021
Last updated
02/03/2026
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