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Search › Illinois › 2080P0202X

Theodore Deitz, MD

NPI 1790361426 · on the registry since 2021

Practice

Address
4440 W 95th St
Oak Lawn, IL 60453
Phone
(708) 684-5580
Fax
(708) 684-4068
Organisation at this address
Uic
Stacie Ward
Walgreen Co
Surgical Partners
Advocate Christ Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,126

Additional practice sites

  • 2160 S 1st Ave, Maywood, IL

Registry record

Primary taxonomy
2080P0202X
2080P0202X
Also registered as
207R00000X
208000000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-05-16

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