ZACHARY DIETCH

CHICAGO, IL
NPI1275832024
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy204F00000X Transplant Surgery
(Licence: IL  036153226)
Additional Taxonomies204F00000X Transplant Surgery
(Licence: CA  A155080)
208600000X Surgery
(Licence: CA  A155080)
Enumeration Date2011-03-18
Last Update Date2020-10-08
Business Address
ZACHARY DIETCH
676 N SAINT CLAIR ST FL 19
CHICAGO, IL 60611-2927
Phone number: 312-695-8900
Mailing Address
ZACHARY DIETCH
676 N SAINT CLAIR ST FL 19
CHICAGO, IL 60611-2927
Phone number: 312-695-8900