Bonita G. Dietrich
Bonita G. Dietrich is a Nurse Practitioner in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
2900 N Knoxville AvePeoria, IL 61603-1748
Phone: (309) 688-3616
Fax: (309) 687-3370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 041248649/209000680 (IL) |
|---|
Record details
| NPI number | 1386734689 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 15, 2006 |
| Last updated in NPPES | August 5, 2009 |
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