George F. Dietz, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036037099 Issued in IL

Legal business name

GEORGE F. DIETZ, MD

Practice address

212 S Scoville Ave
Oak Park, IL 60302-3220

Phone

(773) 730-2920

Fax

(708) 386-3694

NPI assigned

Nov 12, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. George F. Dietz, M.D.

Title

Owner

Phone

(773) 730-2920

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1639323058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S SCOVILLE AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603023220",
            "telephone_number": "773-730-2920",
            "fax_number": "708-386-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S SCOVILLE AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603023220",
            "telephone_number": "773-730-2920",
            "fax_number": "708-386-3694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE F. DIETZ, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-12",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "DIETZ",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-730-2920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036037099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Gawlik
• Tayonon E Gbala, LMT,OMT
• Kinfe Gebeyehu, MD
• Kyle Elizabeth Geissler, M.D.
• Samantha V Gennell
• Ashley A George, PA-C
• Donna Maria George, M.S., R.D., L.D.N.
• Grace George, M.D.
• Paul V George, DPT
• Geraldine S. Fox, MD

• Family Medicine Physician in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.