Dieter, Robert Sean

Dieter, Robert Sean is an individual health care provider with primary practice located at 2160 S First Ave (15750 Marian Dr., Homer Glen, Il. 60491), Maywood IL 60153. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Dieter, Robert Sean can be contacted via phone (708) 645-3400.

Contact Information

Primary practice address
2160 S First Ave (15750 Marian Dr., Homer Glen, Il. 60491) Maywood IL 60153
Phone: (708) 645-3400
Fax: (708) 216-8795
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036099366 Illinois
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036099366 Illinois

Profile Details

NPI number 1528126067
LBN Legal business name Dieter, Robert Sean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Jul 28th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528126067 NPPES
Illinois Other K23219 MEDICARE

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