Diane Sowa, RDN

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

164.001329 Issued in IL

Practice address

1700 W Van Buren St
Chicago, IL 60612-5500

Phone

(312) 942-5212

Fax

(312) 942-5203

NPI assigned

Jan 22, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rush University Medical Group

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1093819542
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390348800000",
    "number": "1346663671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CHRISTINA CIR",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601893109",
            "telephone_number": "312-942-5212",
            "fax_number": "312-942-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W VAN BUREN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606125500",
            "telephone_number": "312-942-5212",
            "fax_number": "312-942-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOWA",
        "first_name": "DIANE",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "164.001329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sovereign Healthcare
• Sovereign Rehabilitation of Chicago, LTD
• Sovereign Rehabilitation of Illinois LLC
• Sovereign Rehabilitation of Illinois LLC
• Sow and Seed Psychotherapy, PLLC
• Frank Sowa
• Gavin Michael Sowa, MD
• Kathryn Sowder, PSY.D.
• Zenobia L Sowell, DDS
• David A Sowemimo

• General Acute Care Hospital in Chicago, IL
• Providers in Chicago, IL by specialty
• General Acute Care Hospital in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.