Individual
DR. DOUGLAS A DIEKEVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
016004442
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004442
—
IL
01
—
60010806
BLUE CROSS BLUE SHIELD
IL
01
—
93662603
UNITED HEALTHCARE
IL
01
—
P00251740
RAILROAD MEDICARE
IL
Enumeration date
03/16/2006
Last updated
12/28/2021
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