Frederick Dietz, MD | |
2300 N Rockton Ave, Rockford, IL 61103-3619 | |
(815) 971-2000 | |
Not Available |
Full Name | Frederick Dietz |
---|---|
Gender | Male |
Speciality | Internal Medicine - Rheumatology |
Location | 2300 N Rockton Ave, Rockford, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235249426 | NPI | - | NPPES |
036050026 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RR0500X | Internal Medicine - Rheumatology | 036-050026 (Illinois) | Primary |
Entity Name | Rockford Health Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584 |
Mailing Address | Practice Location Address |
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Frederick Dietz, MD 2300 N Rockton Ave, Rockford, IL 61103-3619 Ph: (815) 971-2000 | Frederick Dietz, MD 2300 N Rockton Ave, Rockford, IL 61103-3619 Ph: (815) 971-2000 |
Dr. Adekola Abioudun Ashaye, MD Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881 | |
Prasad K. Kilaru, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 2350 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-2000 | |
David R. Mitchell, MD Rheumatology Medicare: Medicare Enrolled Practice Location: 5970 Churchview Dr, Rockford, IL 61107 Phone: 815-971-2000 | |
Dr. Amrutha Mary George, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1253 N Alpine Rd, Rockford, IL 61107 Phone: 779-696-9201 | |
Rajyalaxmi Mullapudi, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000 | |
Geoffrey Tsaras, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1340 Charles St Ste 404, Rockford, IL 61104 Phone: 779-696-1890 Fax: 779-696-2410 | |
Chester Durnas, MD Rheumatology Medicare: Medicare Enrolled Practice Location: 6785 Weaver Rd, Ste D, Rockford, IL 61114 Phone: 815-633-8586 |