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1043267461
MARK DIETERICH
EVANSTON, IL
NPI
1043267461
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: IL 036090861)
Enumeration Date
2006-05-30
Last Update Date
2008-04-25
Business Address
-- MARK DIETERICH M.D.
2650 RIDGE AVE EVANSTON HOSPITAL RM 1210
EVANSTON, IL 60201-1718
Phone number: 847-570-1206
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Mailing Address
-- MARK DIETERICH M.D.
2650 RIDGE AVE EVANSTON HOSPITAL RM 1210
EVANSTON, IL 60201-1718
Phone number: 847-570-1206
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