NPI 1043267461

Mark Dieterich, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Evanston, IL

Practice location

Address: 2650 Ridge Ave Evanston Hospital Rm 1210, Evanston, IL 60201-1718
Phone: (847) 570-1206
Fax: (847) 570-1248

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 036090861 (IL)

Other Pathology providers in Illinois →

Registry record

NPI: 1043267461
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 May 2006
Record last updated: 25 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.