| Doctor Name: | ANNEMARIE DIETZEN |
| NPI Number: | 1063645216 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 070017371 |
| Business Practice Address: | 533 W North Ave Suite 202 Elmhurst, IL - 601262135 |
| Business Phone Number: | 6308326919 |
| Business Fax Number: | 6308326928 |
| Mailing Address: | 533 W North Ave, Suite 202 ELMHURST |
| State: | IL |
| Postal Code: | 601262135 |
| Phone Number: | 6308326919 |
| Fax Number: | 6308326928 |
| NPI Enumeration Date: | 09/03/2009 |
| NPI Last Update Date: | 02/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 070017371 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |