Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANTON N DIETZEN, M.D., D.C.
ActiveDR. ANTON N DIETZEN, M.D., D.C. is a Pediatric Rehabilitation Medicine healthcare provider located in CHICAGO, Illinois. NPI 1063659076 is currently active in the NPPES registry. Verify at CMS.
Pediatric Rehabilitation Medicine · CHICAGO, IL
Registration Details
- NPI Number
- 1063659076
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 13, 2009 (17.621137240675 yrs)
- Last Updated
- Sep 12, 2023
- Licenses
-
038011314 (IL)D0089692 (MD)036149703 (IL)125.069633 (IL)036149703 (IL)
Practice Information
- Address
-
1750 W HARRISON STCHICAGO, IL, 606123825Browse IL providers · Browse ZIP 60612
- Phone
- 3129426510
- Fax
- 3129422867
- Primary Specialty
-
Pediatric Rehabilitation Medicine
2081P0010X
- Additional Specialty
- Physical Medicine & Rehabilitation
- Additional Specialty
- Physical Medicine & Rehabilitation
- Additional Specialty
- General Surgery
- Additional Specialty
- Pediatric Rehabilitation Medicine
Other Pediatric Rehabilitation Medicine Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| SHUBHRA MUKHERJEE | MD | 1790770659 |
| DEBORAH GAEBLER-SPIRA | MD | 1609882703 |
| CHARLES SISUNG | MD | 1851308464 |
| GADI ASHER REVIVO | D.O. | 1922179787 |
| YESENIA RIVERA | OTR L | 1831246560 |
| LAURA L. DEON | MD | 1164626669 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.