DEIDRE ANNE DIETZ

CHICAGO, IL
NPI1245436625
Former NameDEIDRE ANNE SCHUPBACH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036.125780)
Enumeration Date2007-06-22
Last Update Date2011-09-07
Business Address
-- DEIDRE ANNE DIETZ M.D.
3223 W 63RD STREET
CHICAGO, IL 60629
Phone number: 773-768-5000
Mailing Address
-- DEIDRE ANNE DIETZ M.D.
9119 S EXCHANGE AVE
CHICAGO, IL 60617-4225
Phone number: 773-768-5000
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