Most Relevant Information
Provider Data
| NPI Number: | 1003349028 |
| Provider Name: | DITTE PRIMDAHL |
| Entity Type: | Individual |
| Taxonomy Code: | 282N00000X |
| Specialty: | General Acute Care Hospital |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/06/2017 |
| Last Updated: | 07/03/2024 |
Provider Practice Location
675 N SAINT CLAIR ST STE 20-100
CHICAGO
IL
606115970
Practice Location Phone/Fax
| Phone: | 3126954360 |
| Fax: | 3126951435 |
Provider Mailing Location
675 N SAINT CLAIR ST STE 20-100
CHICAGO
IL
606115970
Provider Mailing Phone/Fax
| Phone: | 3126954360 |
| Fax: | 3126951435 |