National Provider Identifier Database

THEODORE DEITZ, MD – NPI #1790361426
Pediatric Cardiology

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.


Contact Information

THEODORE DEITZ, MD
4440 W 95TH ST
OAK LAWN, IL60453-2600
Phone: 708-684-5580
Fax: 708-684-4068
Website:
Specialty Taxonomy Code
* Pediatric Cardiology 2080P0202X
Internal Medicine 207R00000X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for THEODORE DEITZ

NPI Number 1790361426
Credentials MD
Entity Individual
Enumeration date 03/23/2021
Last updated 05/16/2025 - More than a year ago
Sole proprietor1 No
Identifiers
  • IL License #: 036.170936
  • IL License #: 125.078500
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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