THEODORE DEITZ

OAK LAWN, IL
NPI1790361426
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080P0202X Pediatrics, Pediatric Cardiology
(Licence: IL  036.170936)
Additional Taxonomies207R00000X Internal Medicine
(Licence: IL  125.078500)
208000000X Pediatrics
(Licence: IL  125.078500)
Enumeration Date2021-03-23
Last Update Date2025-05-16
Business Address
THEODORE DEITZ MD
4440 W 95TH ST
OAK LAWN, IL 60453-2600
Phone number: 708-684-5580
Mailing Address
THEODORE DEITZ MD
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: