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

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1043267461

Mark Dieterich, MD is a Pathology in Evanston, Illinois. Graduated from University of Chicago, Pritzker School of Medicine in 1989, 37 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
37
Trained at
University of Chicago, Pritzker School of Medicine
Licensed in
IL
In the registry since
2006
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

2650 Ridge Ave Evanston Hospital Rm 1210
Evanston, IL 60201-1718
Phone: (847) 570-1206
Fax: (847) 570-1248
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 036090861 (IL)

Record details

NPI number1043267461
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 30, 2006
Last updated in NPPESApril 25, 2008
Mailing address2650 Ridge Ave, Evanston Hospital Rm 1210, Evanston, IL 60201-1718

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolUNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduated 1989 (37 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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