Dietzen, Anton N
Dietzen, Anton N is an individual health care provider with primary practice located at 1750 W Harrison St , Chicago IL 60612-3825. He recently has 4 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine. Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine is his primary health care specialty. Dietzen, Anton N can be contacted via phone (312) 942-6510.Contact Information
Primary practice address
1750 W Harrison St
Chicago IL 60612-3825
Phone: (312) 942-6510
Fax: (312) 942-2867
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | 038011314 | Illinois |
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | D0089692 | Maryland |
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 036149703 | Illinois |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 125.069633 | Illinois |
Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine | 2081P0010X | 036149703 | Illinois |
Profile Details
NPI number | 1063659076 |
---|---|
LBN Legal business name | Dietzen, Anton N |
Credentials | M.D., D.C. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 13th, 2009 |
Last updated | Sep 12th, 2023 - about last year |
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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