Individual
ZACHARY DIETCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
676 N SAINT CLAIR ST FL 19, CHICAGO, IL 60611-2927
(312) 695-8900
(312) 695-7752
Mailing address
676 N SAINT CLAIR ST FL 19, CHICAGO, IL 60611-2927
(312) 695-8900
(312) 695-7752
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
036153226
IL
204F00000X
Transplant Surgery Physician
A155080
CA
208600000X
Surgery Physician
A155080
CA
Other
Enumeration date
03/18/2011
Last updated
10/08/2020
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