Dieterich, Mark

Dieterich, Mark is an individual health care provider with primary practice located at 2650 Ridge Ave Evanston Hospital Rm 1210, Evanston IL 60201-1718. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Dieterich, Mark can be contacted via phone (847) 570-1206.

Contact Information

Primary practice address
2650 Ridge Ave Evanston Hospital Rm 1210 Evanston IL 60201-1718
Phone: (847) 570-1206
Fax: (847) 570-1248
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 036090861 Illinois

Profile Details

NPI number 1043267461
LBN Legal business name Dieterich, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Apr 25th, 2008 - 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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