| George F. Dietz, Md | |
|
212 S Scoville Ave Oak Park IL 60302-3220 | |
| (773) 730-2920 | |
| (708) 386-3694 |
| Full Name | George F. Dietz, Md |
|---|---|
| Speciality | Family Medicine |
| Location | 212 S Scoville Ave, Oak Park, Illinois |
| Authorized Official Name and Position | George F. Dietz (OWNER) |
| Authorized Official Contact | 7737302920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| George F. Dietz, Md 212 S Scoville Ave Oak Park IL 60302-3220 Ph: (773) 730-2920 | George F. Dietz, Md 212 S Scoville Ave Oak Park IL 60302-3220 Ph: (773) 730-2920 |
| NPI Number | 1639323058 |
|---|---|
| Provider Enumeration Date | 11/12/2008 |
| Last Update Date | 11/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639323058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036037099 (Illinois) | Primary |
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