IndividualActive
Anton Dietzen, M.D., D.C.
NPI 1063659076 · Pediatric Rehabilitation Medicine Physician · Chicago, IL
Provider details
- NPI number
- 1063659076
- Entity type
- Individual
- Primary specialty
- Pediatric Rehabilitation Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., D.C.
- Sex
- Male
- Sole proprietor
- No
- License
- 038011314 (IL)
Practice location
1750 W Harrison St
Chicago, IL 60612-3825
Phone: (312) 942-6510
Fax: (312) 942-2867
Mailing address
26w171 Roosevelt Rd
Wheaton, IL 60187-6002
Registry dates
- Enumerated
- 2009-01-13
- Last updated
- 2023-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.