Search › Illinois › 2081P0010X
Anton Dietzen, M.D., D.C
NPI 1063659076 · on the registry since 2009
Practice
- Address
- 1750 W Harrison St
Chicago, IL 60612 - Phone
- (312) 942-6510
- Fax
- (312) 942-2867
- Organisation at this address
- University Pathologists Consultants, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 102
Additional practice sites
- 601 N Caroline St # 1163, Baltimore, MD
- 707 N Broadway, Baltimore, MD
- 26w171 Roosevelt Rd, Wheaton, IL
Registry record
- Primary taxonomy
- 2081P0010X
2081P0010X
- Also registered as
- 111N00000X
208100000X
208100000X
208600000X - Licence states on file
- IL, MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-09-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois