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NPI Code Detail

MEDICARE: DR. SARAH DIAMOND STEUERMAN M.D.

MEDICARE:  DR. SARAH DIAMOND STEUERMAN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramIL
22084P0804XChild & Adolescent Psychiatry Physician036.130746IL

General Provider Information

NPI Number : 1831332089
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARAH DIAMOND STEUERMAN M.D.
Provider Business Mailing Address
First Line : 707 LAKE COOK RD STE 309
Second Line :
City : DEERFIELD
State : IL
Zip : 60015-4933
Country : US
Telephone Number : 224-213-7360
Fax Number : 224-213-7379
Provider Business Practice Location Address
First Line : 707 LAKE COOK RD STE 309
Second Line :
City : DEERFIELD
State : IL
Zip : 60015-4933
Country : US
Telephone Number : 224-213-7360
Fax Number : 224-213-7379
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2009
Last Update Date : 10/31/2019

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