DR. DALTON PAUL DIECKOW PHARMD
NPI 1689509747
Pharmacist in Peoria, IL

Active since June 17, 2026
8940 N WOOD SAGE RD, PEORIA, IL 61615(309) 243-3404(309) 243-3032 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Dalton Paul Dieckow Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DALTON PAUL DIECKOW PHARMD (NPI 1689509747) is an individual pharmacist in Peoria, Illinois, licensed in Illinois (051.303137) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1689509747
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. DALTON PAUL DIECKOWCredential: PHARMD
Location Address8940 N WOOD SAGE RDPeoria, IL 61615-7822
Mailing Address8940 N Wood Sage RdPeoria, IL 61615-7822 · (309) 243-3404 · Fax (309) 243-3032
Fax(309) 243-3032
Sole ProprietorYes
Enumeration DateJune 17, 2026
NPPES CertifiedJune 17, 2026
NPI 1689509747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in IL · 051.303137
Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

8940 N WOOD SAGE RD, Peoria, IL 61615

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Hematology & Oncology)
8940 N WOOD SAGE RD
PEORIA, IL 61615
Internal Medicine (Hematology & Oncology)
8940 N WOOD SAGE RD
PEORIA, IL 61615
Internal Medicine (Hematology & Oncology)
8940 N WOOD SAGE RD
PEORIA, IL 61615
Pharmacist (Oncology)
8940 N WOOD SAGE RD
PEORIA, IL 61615
Pharmacist (Oncology)
8940 N WOOD SAGE RD
PEORIA, IL 61615
Pharmacy (Community/Retail Pharmacy)
8940 N WOOD SAGE RD
PEORIA, IL 61615
Internal Medicine (Hematology & Oncology)
8940 N WOOD SAGE RD
PEORIA, IL 61615
Dietitian, Registered
8940 N WOOD SAGE RD
PEORIA, IL 61615

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689509747, enumerated as an "individual" on June 17, 2026.

The provider is located at 8940 N WOOD SAGE RD PEORIA, IL 61615 and the phone number is (309) 243-3404.

Pharmacist with taxonomy code 183500000X.