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Individual

DR. NANCY ANN DIETTRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1021 W ADAMS ST, 300, CHICAGO, IL 60607-2934
(773) 572-8300
Mailing address
1110 N LAKE SHORE DR, SUITE 14-S, CHICAGO, IL 60611-1054
(773) 572-8300

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036069234
IL

Other

Enumeration date
05/05/2009
Last updated
05/05/2009
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