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

Jonathan Jacob Dietrich, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073216131

Jonathan Jacob Dietrich, MD is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2023.

Licensed in
IL
In the registry since
2023
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3134 N Clark St
Chicago, IL 60657-4414
Phone: (312) 766-4949
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 125081580 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1073216131
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2023
Last updated in NPPESJune 21, 2023
Certification dateJune 21, 2023

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