Diana Trew, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036161582 Issued in IL

Practice address

1170 E Belvidere Rd Ste 106
Grayslake, IL 60030-2076

Phone

(847) 548-7337

NPI assigned

Mar 24, 2019

Last updated

Sep 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mundelein Pediatrics, S.C.

  • Pediatric Adolescent Medicine Physician
  • Grayslake, IL
  • NPI 1336294800
  NPD (past)

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

{
    "created_epoch": "1553385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1750841888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 E BELVIDERE RD STE 106",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302076",
            "telephone_number": "847-548-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 E BELVIDERE RD STE 106",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302076",
            "telephone_number": "847-548-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREW",
        "first_name": "DIANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-24",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036161582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Todryk, PSY.D.
• Alissa Tomanek, MA
• Sukhdip Toor, PHARMD
• Ann Torp, LMT
• Teneia Townsend
• True North Mental Health
• Natalie Marie Trytko, DPT
• Kevin Tsui, MD
• Jasmine Allegra Tudy Sauls, M.S., MFT
• Bradley James Umfress, PT

• Pediatrics Physician in Grayslake, IL
• Providers in Grayslake, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.