DR. ANTON N DIETZEN M.D. D.C. NPI 1063659076

NPI Information

  • NPI: 1063659076
  • Provider Name: DR. ANTON N DIETZEN, M.D., D.C.
  • Classification: Physical Medicine & Rehabilitation - 2081P0010X
  • Specialization: Pediatric Rehabilitation Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1750 W HARRISON ST
    CHICAGO, IL
    ZIP 60612
  • Phone: (312) 942-6510

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NPI Details

DR. Anton N Dietzen, M.D., D.C. is a pediatric rehabilitation medicine physical medicine rehabilitation in Chicago, IL with 11 years of experience. The provider is a physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. DR. Anton N Dietzen, M.D., D.C. NPI is 1063659076. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1750 W HARRISON ST
CHICAGO, IL
ZIP 60612-825
Phone: (312) 942-6510
Fax: (312) 942-2867

The NPI 1063659076 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)

The enumeration date for this NPI number is 1/13/2009 and was last updated on 9/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor038011314ILLINOISNo
2208100000XPhysical Medicine & RehabilitationD0089692MARYLANDNo
3208100000XPhysical Medicine & Rehabilitation036149703ILLINOISNo
4208600000XSurgery125.069633ILLINOISNo
52081P0010XPhysical Medicine & RehabilitationPediatric Rehabilitation Medicine036149703ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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