Lane David Dieckow

  • NPI 1467690073
According to our database, the NPI number for Lane David Dieckow is 1467690073 and activated since 15 years ago. Lane David Dieckow is an individual provider who specializes in Physical Therapist, and the primary practice location is 3714 N Prospect Rd, Peoria, IL 61614. You can also contact Lane David Dieckow via telephone number is (309) 550-7888. Provider NPI information was last updated on 06/28/2017.

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Overview of Lane David Dieckow

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 02/04/2009
  • Last updated: 06/28/2017

Primary Scrop of Practice

  • Taxonomy Code: 225100000X
  • Specialty: Physical Therapist
  • License Number: 070016884
  • License State: IL

Provider Mailing Address

  • Address: 625 Enterprise Dr
    Oak Brook, IL 60523
  • Phone: 630-575-1980
  • Fax:

Provider Practice Location

  • Address: 3714 N Prospect Rd
    Peoria, IL 61614
  • Phone: 309-550-7888
  • Fax: 309-550-7848

Scope of Practice

  • Taxonomy Code: 225100000X
  • Specialty: Physical Therapist
  • License Number: 070016884
  • License State: IL
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Lane David Dieckow?
  • A: The npi number for Lane David Dieckow is 1467690073.
  • Q: What are Lane David Dieckow's specialties?
  • A: Lane David Dieckow's specialties are Physical Therapist and different specialities.
  • Q: What is the medical license for Lane David Dieckow?
  • A: The medical license number for Lane David Dieckow is 070016884 and issued in IL in USA.
  • Q: Where is Lane David Dieckow practice location?
  • A: Lane David Dieckow is practicing at 3714 N Prospect Rd, Peoria, IL 61614.
  • Q: How to contact Lane David Dieckow?
  • A: You can contact Lane David Dieckow via 309-550-7888.