Organization
GEORGE F. DIETZ, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE F. DIETZ M.D. (OWNER)
(773) 730-2920
Entity
Organization
Contact information
Practice address
212 S SCOVILLE AVE, OAK PARK, IL 60302-3220
(773) 730-2920
(708) 386-3694
Mailing address
212 S SCOVILLE AVE, OAK PARK, IL 60302-3220
(773) 730-2920
(708) 386-3694
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036037099
IL
Other
Enumeration date
11/12/2008
Last updated
11/12/2008
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