Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Anton N Dietzen, MD, DC

Individual provider Chiropractor · NPI 1063659076

Dr. Anton N Dietzen, MD, DC is a Physical Medicine and Rehabilitation in Chicago, Illinois. Qualified in 2015, 11 years ago. Practices with Central Dupage Physician Group, a 1,094-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Maryland.

Years since qualifying
11
Licensed in
IL, MD
In the registry since
2009
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

1750 W Harrison St
Chicago, IL 60612-3825
Phone: (312) 942-6510
Fax: (312) 942-2867
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 26w171 Roosevelt Rd, Wheaton, IL 60187-6002 — (630) 909-7000
  • 707 N Broadway, Baltimore, MD 21205-1832 — (443) 923-7588
  • 601 N Caroline St # 1163, Baltimore, MD 21287-0006 — (410) 502-5357

Specialties & licences

Pediatric Rehabilitation Medicine Physician (primary) Taxonomy 2081P0010X · Licence 036149703 (IL)
Chiropractor Taxonomy 111N00000X · Licence 038011314 (IL)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence D0089692 (MD)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 036149703 (IL)
Surgery Physician Taxonomy 208600000X · Licence 125.069633 (IL)

Record details

NPI number1063659076
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , DC
Sole proprietorNo
NPI enumeratedJanuary 13, 2009
Last updated in NPPESSeptember 12, 2023
Certification dateSeptember 12, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Central Dupage Physician Group — 1094 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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