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

Dr. Dalton Paul Dieckow, PHARMD

Individual provider Pharmacist · NPI 1689509747

Dr. Dalton Paul Dieckow, PHARMD is a Pharmacist in Peoria, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2026
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

See every abbreviation used in this directory →

Practice location Address checks out

8940 N Wood Sage Rd
Peoria, IL 61615-7822
Phone: (309) 243-3404
Fax: (309) 243-3032
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 051.303137 (IL)

Record details

NPI number1689509747
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedJune 17, 2026
Last updated in NPPESJune 17, 2026
Certification dateJune 17, 2026

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