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1376581116
RICHARD J DIETZEN
CHICAGO, IL
NPI
1376581116
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: IL 038004283)
Enumeration Date
2006-06-03
Last Update Date
2014-08-14
Business Address
-- RICHARD J DIETZEN DC
5545 W MONTROSE AVE
CHICAGO, IL 60641-1331
Phone number: 773-282-6648
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Mailing Address
-- RICHARD J DIETZEN DC
5545 W MONTROSE AVE
CHICAGO, IL 60641-1331
Phone number: 773-282-6648
Copy
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