Individual
DR. STEVEN BENNETT DRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 W NORTH AVE STE 201, MELROSE PARK, IL 60160-1600
(708) 450-5055
(708) 338-2474
Mailing address
675 W NORTH AVE, SUITE 605, MELROSE PARK, IL 60160-1634
(708) 450-5055
(708) 338-2474
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036056021
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036056021
—
IL
01
—
P00247042
MEDICARE RAILROAD
IL
Enumeration date
05/10/2006
Last updated
10/01/2019
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