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

William Jacob Dieter

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1891572533

William Jacob Dieter is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1520 W Harrison St
Chicago, IL 60607-3106
Phone: (312) 942-0712
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence 125086179 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 125.086179 (IL)

Record details

NPI number1891572533
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 14, 2023
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025
Mailing address1520 W Harrison St, Chicago, IL 60607-3106

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