Individual
CHRISTOPHER DIETHERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
9735 SKOKIE BLVD, SKOKIE, IL 60077-1383
(847) 380-8969
Mailing address
403 MURIEL CT, WHEELING, IL 60090-5918
(847) 826-3590
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
227011698
IL
363LF0000X
Family Nurse Practitioner
Primary
209029691
IL
Other
Enumeration date
04/09/2011
Last updated
07/23/2025
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