Individual
ROBERT DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
190 S WOOD DALE RD APT 203, WOOD DALE, IL 60191-2262
(847) 513-2786
Mailing address
190 S WOOD DALE RD APT 203, WOOD DALE, IL 60191-2262
(847) 513-2786
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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