Doctor Name: | ADAM DICKLER |
NPI Number: | 1053387274 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 036-107528 |
Business Practice Address: | 2800 W 95th St Evergreen Park, IL - 608052701 |
Business Phone Number: | 7082295560 |
Business Fax Number: | 7082294712 |
Mailing Address: | 17333 La Grange Rd, Suite 100 TINLEY PARK |
State: | IL |
Postal Code: | 604877502 |
Phone Number: | 7084489393 |
Fax Number: | 7084487530 |
NPI Enumeration Date: | 02/27/2006 |
NPI Last Update Date: | 04/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0001X |
License Number: | 036-107528 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Radiation Oncology |
Taxonomy Definition: | A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |